Individual provider Active NPI

Stephen Douglas Murtagh

  • Clinical Social Worker
  • Fall River, MA
National Provider Identifier
1790053759
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
151 Rock St
Fall River, MA 02720-3201
Phone
(508) 678-7542
Fax
(508) 676-3699
NPI assigned
Dec 6, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2011

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 Primary

Addresses

Primary practice location

151 Rock St
Fall River, MA 02720-3201

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151105000767 MA Practitioner - Clinical Social Worker 7214247139 Reassigns benefits to 1 organization
Practice locations: Fall River, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Boston University School of Medicine, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

145 Globe St
Suite 1B
Fall River, MA 02724-1323
Phone (617) 460-7411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service Association of Greater Fall River, Inc. Clinical CurrentSince Oct 10, 2014 Accepting new patients
C & C Psychiatry LLC Past Accepting new patients

Locations

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

101 Rock St
Fall River, MA 02720
Phone (508) 677-3822

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1790053759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 ROCK ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027203201",
            "telephone_number": "508-678-7542",
            "fax_number": "508-676-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 ROCK ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027203201",
            "telephone_number": "508-678-7542",
            "fax_number": "508-676-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURTAGH",
        "first_name": "STEPHEN",
        "middle_name": "DOUGLAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-06",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.