Organization Active NPI

Chelmsford Family Counseling Center

  • Clinical Social Worker
  • N Chelmsford, MA
National Provider Identifier
1780890871
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
105373 Issued in MA
Legal business name
CHELMSFORD FAMILY COUNSELING CENTER
Practice address
73 Princeton St
#314
N Chelmsford, MA 01863-1558
Phone
(978) 251-7806
Fax
(978) 251-7719
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Anthony A Shipley, MSWNPI 1013064658
Title
Director
Phone
(978) 251-7806

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 105373 MA Primary

Addresses

Primary practice location

73 Princeton St
#314
N Chelmsford, MA 01863-1558

Mailing address

73 Princeton St
#314
N Chelmsford, MA 01863-1558
Phone (978) 251-7806

National Provider Directory

National Provider Directory

Locations

73 Princeton St
Ste 314
North Chelmsford, MA 01863
Phone (978) 251-7806

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780890871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 PRINCETON ST",
            "address_2": "#314",
            "city": "N CHELMSFORD",
            "state": "MA",
            "postal_code": "018631558",
            "telephone_number": "978-251-7806",
            "fax_number": "978-251-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 PRINCETON ST",
            "address_2": "#314",
            "city": "N CHELMSFORD",
            "state": "MA",
            "postal_code": "018631558",
            "telephone_number": "978-251-7806",
            "fax_number": "978-251-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHELMSFORD FAMILY COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHIPLEY",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "978-251-7806",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "105373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Chelmsford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.