Active NPI
Gerald Brickell
- Social Worker
- Plymouth, MA
National Provider Identifier
1790862092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 203421
- Practice address
- 64 Industrial Park Rd
Plymouth, MA 02360-4881 - Phone
- (508) 830-1630
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- 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 | 203421 | MA | Primary |
Addresses
Primary practice location
64 Industrial Park Rd
Plymouth, MA 02360-4881
Mailing address
35 Park St
2ND FL
Stoughton, MA 02072-2913
Phone (781) 344-2220
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 203421 | MA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790862092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 PARK ST",
"address_2": "2ND FL",
"city": "STOUGHTON",
"state": "MA",
"postal_code": "020722913",
"telephone_number": "781-344-2220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 INDUSTRIAL PARK RD",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023604881",
"telephone_number": "508-830-1630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRICKELL",
"first_name": "GERALD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "203421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.