Individual provider Active NPI

Kerrie Siena Toole, LICSW

  • Clinical Social Worker
  • Milford, MA
National Provider Identifier
1780891408
Registry record updated Oct 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
113448 Issued in MA
Practice address
409 Fortune Blvd
Suite 101
Milford, MA 01757-1741
Phone
(508) 439-3911
NPI assigned
May 16, 2007
Last updated
Oct 29, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2009

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 113448 MA Primary

Addresses

Primary practice location

409 Fortune Blvd
Suite 101
Milford, MA 01757-1741

Mailing address

PO Box 4486
Shrewsbury, MA 01545-7486

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 6, 2022 through Dec 6, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
113448MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Castlebrook Counseling Services, Inc. Clinical PastSince Jun 25, 2015 Accepting new patients
Milford Franklin Counseling Services Inc Clinical Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256774400000",
    "number": "1780891408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4486",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015457486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 FORTUNE BLVD",
            "address_2": "SUITE 101",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017571741",
            "telephone_number": "508-439-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOOLE",
        "first_name": "KERRIE",
        "middle_name": "SIENA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2009-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, MA

Sources for this page

Verify at the official NPI Registry.