Individual provider Active NPI

Christine Laclair

  • Clinical Social Worker
  • Lowell, MA
National Provider Identifier
1740681329
Registry record updated Sep 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
219964 Issued in MA
Practice address
97 Central St
Suite 207
Lowell, MA 01852-1917
Phone
(978) 514-1974
Fax
(978) 710-5752
NPI assigned
Sep 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 2381 MA
Clinical Social Worker 1041C0700X 219964 MA Primary

Addresses

Primary practice location

97 Central St
Suite 207
Lowell, MA 01852-1917

Mailing address

349 Broadway
Cambridge, MA 02139-1715
Phone (978) 514-1974

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
2381MAMDAddiction (Substance Use Disorder) Counselor
219964MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410739200000",
    "number": "1740681329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 BROADWAY",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021391715",
            "telephone_number": "978-514-1974",
            "fax_number": "617-661-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 CENTRAL ST",
            "address_2": "SUITE 207",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521917",
            "telephone_number": "978-514-1974",
            "fax_number": "978-710-5752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACLAIR",
        "first_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-15",
        "last_updated": "2014-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "2381",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "219964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; 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.