Individual provider Active NPI

Elizabeth Rettig McCarthy, LICSW

  • School Social Worker
  • Dorchester, MA
National Provider Identifier
1760961544
Registry record updated Aug 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
117884 Issued in MA
Practice address
21 Queen St
Dorchester, MA 02122-2509
Phone
(617) 825-0703
NPI assigned
Aug 12, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 117884 MA Primary

Addresses

Primary practice location

21 Queen St
Dorchester, MA 02122-2509

Mailing address

14 Richmond Ave
Woburn, MA 01801-1328
Phone (917) 648-0767

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
117884MAMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood House Charter School Past Accepting new patients

Organizations & group practices 1

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": "1534032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534032000000",
    "number": "1760961544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 RICHMOND AVE",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018011328",
            "telephone_number": "917-648-0767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 QUEEN ST",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021222509",
            "telephone_number": "617-825-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "ELIZABETH",
        "middle_name": "RETTIG",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-12",
        "last_updated": "2018-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "MA",
            "license": "117884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorchester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2018; 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.