Individual provider Active NPI

Kerry Lynne Higgins, LICSW

  • Clinical Social Worker
  • Westborough, MA
National Provider Identifier
1841435534
Registry record updated Dec 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
110424 Issued in MA
Practice address
288 Lyman St
DMH Eligibility Unit
Westborough, MA 01581-2633
Phone
(508) 616-3507
Fax
(508) 616-3599
NPI assigned
Dec 9, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2008

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 110424 MA Primary

Addresses

Primary practice location

288 Lyman St
DMH Eligibility Unit
Westborough, MA 01581-2633

Mailing address

288 Lyman St
DMH Eligibility Unit
Westborough, MA 01581-2633
Phone (508) 616-3507

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

LicenseStateTypeSpecialty
110424MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228780800000",
    "number": "1841435534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 LYMAN ST",
            "address_2": "DMH ELIGIBILITY UNIT",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015812633",
            "telephone_number": "508-616-3507",
            "fax_number": "508-616-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 LYMAN ST",
            "address_2": "DMH ELIGIBILITY UNIT",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015812633",
            "telephone_number": "508-616-3507",
            "fax_number": "508-616-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGGINS",
        "first_name": "KERRY",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-09",
        "last_updated": "2008-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "110424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.