Individual provider Active NPI

Anne Fowler, LICSW

  • Social Worker
  • Somerville, MA
National Provider Identifier
1750869848
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
114186 Issued in MA
Practice address
61 Medford St Ste 2
Somerville, MA 02143-3422
Phone
(617) 628-2601
Fax
(617) 628-1085
NPI assigned
Aug 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 114186 MA Primary

Addresses

Primary practice location

61 Medford St Ste 2
Somerville, MA 02143-3422

Mailing address

61 Medford St Ste 2
Somerville, MA 02143-3422
Phone (617) 628-2601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260311002254 MA Practitioner - Clinical Social Worker 8224470331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

61 Medford St
Suite 3
Somerville, MA 02143-3421

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
114186MAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Somerville-Cambridge Elder Services Incorporated Social Worker CurrentSince Dec 29, 2025 Accepting new patients
Somerville-Cambridge Elder Services, Inc Past Accepting new patients

Locations

61 Medford St
Ste 2
Somerville, MA 02143
Phone (617) 628-2601

61 Medford St
Somerville, MA 02143
Phone (617) 628-2601

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1750869848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 MEDFORD ST STE 2",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021433422",
            "telephone_number": "617-628-2601",
            "fax_number": "617-628-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 MEDFORD ST STE 2",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021433422",
            "telephone_number": "617-628-2601",
            "fax_number": "617-628-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "ANNE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "114186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, MA

Sources for this page

Verify at the official NPI Registry.