Stacey Bogue Foster, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

211043 Issued in MA

Practice address

266 Waverly Road
North Andover, MA 01832

Phone

(978) 794-1545

NPI assigned

Oct 5, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1851487979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 WAVERLY ROAD",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018453599",
            "telephone_number": "978-794-1545",
            "fax_number": "978-794-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 WAVERLY ROAD",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "01832",
            "telephone_number": "978-794-1545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1353 Dorchester Avenue",
            "address_purpose": "LOCATION",
            "city": "Dorchester",
            "state": "MA",
            "postal_code": "02122",
            "country_code": "US",
            "telephone_number": "617-288-3230",
            "fax_number": "617-825-4972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "STACEY",
        "middle_name": "BOGUE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "211043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "211043",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Foot Health Center of Merrimack Valley-Wpho PC
• Emily Anne Ford
• Jean Patricia Ford, P.T.
• Jaclene Forlano, MS, CCC-SLP
• Morgan Foster, PA-C
• Jill Francisco, NP
• Mary Michelle Franks, PTA
• Beth A Freire, M.D.
• Meaghan Rose Freitas, MA CCC-SLP
• Fresenius Vascular Care North Andover LLC

• Clinical Social Worker in North Andover, MA
• Providers in North Andover, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.