Individual provider Active NPI

Barbara Lynn Blair, MSW, LICSW

  • Clinical Social Worker
  • Falmouth, MA
National Provider Identifier
1801817382
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1025681 Issued in MA
Practice address
246 Woods Hole Rd
Falmouth, MA 02540-1673
Phone
(508) 274-8220
NPI assigned
Jul 21, 2006
Last updated
Jun 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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 1025681 MA Primary

Addresses

Primary practice location

246 Woods Hole Rd
Falmouth, MA 02540-1673

Mailing address

246 Woods Hole Rd
Falmouth, MA 02540-1673
Phone (508) 274-8220

Other identifiers 3

IdentifierTypeStateIssuer
PO7112OtherMABLUE CROSS BLUE SHIELD
791434OtherMATUFTS HEALTH PLAN
197317000OtherMAMAGELLAN

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
I20050727000413 MA Practitioner - Clinical Social Worker 2466480918 Practice locations: Falmouth, MA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1025681MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1801817382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 WOODS HOLE RD",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025401673",
            "telephone_number": "508-274-8220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 WOODS HOLE RD",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025401673",
            "telephone_number": "508-274-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "BARBARA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "MSW,  LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1025681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "PO7112",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "791434",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "197317000",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Falmouth, MA

Sources for this page

Verify at the official NPI Registry.