Individual provider Active NPI

Daniel Carr, MSW, LCSW

  • Clinical Social Worker
  • Brockton, MA
National Provider Identifier
1780032060
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
000222795 Issued in MA
Practice address
10 Meadowbrook Rd
Brockton, MA 02301-7122
Phone
(774) 365-1773
NPI assigned
May 27, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 000222795 MA Primary

Addresses

Primary practice location

10 Meadowbrook Rd
Brockton, MA 02301-7122

Mailing address

10 Meadowbrook Rd
Brockton, MA 02301-7122

Other practice location 1

30 Meadowbrook Rd
Brockton, MA 02301-7122
Phone (774) 365-1773

Other practice location 2

151 Rock St
Fall River, MA 02720-3201
Phone (508) 678-7542

Other practice location 3

30 Meadowbrook Rd
Brockton, MA 02301-7122
Phone (774) 365-1773

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
000222795MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1780032060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MEADOWBROOK RD",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023017122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MEADOWBROOK RD",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023017122",
            "telephone_number": "774-365-1773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Meadowbrook Rd",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023017122",
            "country_code": "US",
            "telephone_number": "774-365-1773",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "151 Rock St",
            "address_purpose": "LOCATION",
            "city": "Fall River",
            "state": "MA",
            "postal_code": "027203201",
            "country_code": "US",
            "telephone_number": "508-678-7542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Meadowbrook Rd",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023017122",
            "country_code": "US",
            "telephone_number": "774-365-1773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARR",
        "first_name": "DANIEL",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "000222795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.