Active NPI
Thomas R Hart, LICSW
- Social Worker
- Medway, MA
National Provider Identifier
1831296847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 10310221
- Practice address
- 3 Birch Bark Road
Medway, MA 02053 - Phone
- (508) 533-0266
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 10310221 | MA | Primary |
Addresses
Primary practice location
3 Birch Bark Road
Medway, MA 02053
Mailing address
3 Birch Bark Road
Medway, MA 02053
Phone (508) 533-0266
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P08548 | Other | MA | BCBS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10310221 | MA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336003200000",
"number": "1831296847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 BIRCH BARK ROAD",
"city": "MEDWAY",
"state": "MA",
"postal_code": "02053",
"telephone_number": "508-533-0266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 BIRCH BARK ROAD",
"city": "MEDWAY",
"state": "MA",
"postal_code": "02053",
"telephone_number": "508-533-0266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HART",
"first_name": "THOMAS",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2012-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "10310221",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "P08548",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Medway, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.