Active NPI
Kathryn Anne Chapman, MSW LICSW
- Clinical Social Worker
- Tyngsboro, MA
National Provider Identifier
1821159344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 106234
- Practice address
- 6 Pondview Place
Tyngsboro, MA 01879 - Phone
- (978) 649-9980
- Fax
- (978) 649-9127
- NPI assigned
- Dec 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 106234 | MA | Primary |
| Clinical Social Worker | 1041C0700X | 678 | NH |
Addresses
Primary practice location
6 Pondview Place
Tyngsboro, MA 01879
Mailing address
1454 Mystic Valley Parkway
Medford, MA 02155
Phone (781) 488-3242
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891715 | Other | MASS HEALTH | |
| 30421453 | Medicaid | NH |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1454 Mystic Valley Pkwy
Medford, MA 02155-6803
Phone (978) 649-9980
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 678 | NH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clearview Counseling LLC | Clinical | Current | Accepting new patients |
Locations
5 Pondview Pl
Tyngsboro, MA 01879
Phone (978) 649-9980
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Tyngsboro, MA
- NPI 1184266637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821159344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1454 MYSTIC VALLEY PARKWAY",
"city": "MEDFORD",
"state": "MA",
"postal_code": "02155",
"telephone_number": "781-488-3242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 PONDVIEW PLACE",
"city": "TYNGSBORO",
"state": "MA",
"postal_code": "01879",
"telephone_number": "978-649-9980",
"fax_number": "978-649-9127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAPMAN",
"first_name": "KATHRYN",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "MSW LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "106234",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NH",
"license": "678",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASS HEALTH",
"identifier": "1891715",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30421453",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tyngsboro, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.