Active NPI
Cheryl Ann Provasoli
- Social Worker
- Bradford, MA
National Provider Identifier
1780165142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 1021587
- Practice address
- 94 Revere St
Bradford, MA 01835-7737 - Phone
- (978) 373-1971
- NPI assigned
- Aug 23, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 1021587 | MA | Primary |
Addresses
Primary practice location
94 Revere St
Bradford, MA 01835-7737
Mailing address
94 Revere St
Bradford, MA 01835-7737
Phone (978) 373-1971
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534982400000",
"number": "1780165142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94 REVERE ST",
"city": "BRADFORD",
"state": "MA",
"postal_code": "018357737",
"telephone_number": "978-373-1971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94 REVERE ST",
"city": "BRADFORD",
"state": "MA",
"postal_code": "018357737",
"telephone_number": "978-373-1971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROVASOLI",
"first_name": "CHERYL",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-23",
"last_updated": "2018-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "1021587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bradford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.