Active NPI
Julie Paster-Kinnicutt, LCSW
- Social Worker
- Woburn, MA
National Provider Identifier
1780154005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 222010
- Practice address
- Lahey Accountable Care Unit
12 Alfred Street, Suite 207
Woburn, MA 01801 - Phone
- (781) 866-0364
- NPI assigned
- Nov 29, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 222010 | MA | Primary |
Addresses
Primary practice location
Lahey Accountable Care Unit
12 Alfred Street, Suite 207
Woburn, MA 01801
Mailing address
53 Barstow St
Salem, MA 01970-2303
Phone (617) 921-8024
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 24, 2025 through Feb 24, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 222010 | MA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543449600000",
"number": "1780154005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 BARSTOW ST",
"city": "SALEM",
"state": "MA",
"postal_code": "019702303",
"telephone_number": "617-921-8024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LAHEY ACCOUNTABLE CARE UNIT",
"address_2": "12 ALFRED STREET, SUITE 207",
"city": "WOBURN",
"state": "MA",
"postal_code": "01801",
"telephone_number": "781-866-0364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASTER-KINNICUTT",
"first_name": "JULIE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-29",
"last_updated": "2018-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "222010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woburn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.