Patrice Carroll, LICSW
Individual provider Active NPI Clinical Social Worker · Hingham, MA
NPI 1811968282 · NPPES record last updated Aug 29, 2020
Key facts
- NPI
- 1811968282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 110598 (MA)
- Practice address
- 185 Lincoln St Ste 210
Hingham, MA 02043-1743 - Phone
- (781) 718-7269
- NPI assigned
- Feb 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 23, 2024 through May 23, 2028
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110598 | MA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 110598 | MA | Yes |
Addresses
Primary practice location
185 Lincoln St Ste 210
Hingham, MA 02043-1743
Mailing address
121 North St Unit 628
Hingham, MA 02043-9960
Phone (781) 718-7269
Other providers in Hingham, MA
- Christina Caravana
- Norma Carey
- Sophia Carey
- Karen Carrabes
- Elio Carretta
- Laura Ruth Carson
- Rosemarie Delaney Carvelli
- Regina Casey
- Catz Rehab Managment, Inc
- Deanna Cedrone
All providers in Hingham, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.