Individual provider Active NPI

Sara Lahaie, LICSW

  • Clinical Social Worker
  • Lynnfield, MA
National Provider Identifier
1740659523
Registry record updated Sep 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
115991 Issued in MA
Practice address
6 Kimball LN
Lynnfield, MA 01940-2682
Phone
(781) 246-2010
Fax
(781) 245-0953
NPI assigned
Sep 22, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 115991 MA Primary

Addresses

Primary practice location

6 Kimball LN
Lynnfield, MA 01940-2682

Mailing address

6 Kimball LN
Lynnfield, MA 01940-2682
Phone (781) 246-2010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
115991MAMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442880000000",
    "number": "1740659523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 KIMBALL LN",
            "city": "LYNNFIELD",
            "state": "MA",
            "postal_code": "019402682",
            "telephone_number": "781-246-2010",
            "fax_number": "781-245-0953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 KIMBALL LN",
            "city": "LYNNFIELD",
            "state": "MA",
            "postal_code": "019402682",
            "telephone_number": "781-246-2010",
            "fax_number": "781-245-0953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAHAIE",
        "first_name": "SARA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-22",
        "last_updated": "2015-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "115991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.