Individual provider Active NPI

Phoebe B. Speck, PH.D., LICSW

  • Clinical Social Worker
  • Falmouth, MA
National Provider Identifier
1861407272
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
113379 Issued in MA
Practice address
225 Moorland Rd
Falmouth, MA 02540-2421
Phone
(508) 540-7107
Fax
(508) 540-7107
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 113379 MA Primary

Addresses

Primary practice location

225 Moorland Rd
Falmouth, MA 02540-2421

Mailing address

225 Moorland Rd
Falmouth, MA 02540-2421
Phone (508) 540-7107

Other names 1

  • Dr. Phoebe B. Office Other name

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
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861407272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MOORLAND RD",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025402421",
            "telephone_number": "508-540-7107",
            "fax_number": "508-540-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MOORLAND RD",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025402421",
            "telephone_number": "508-540-7107",
            "fax_number": "508-540-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPECK",
        "first_name": "PHOEBE",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "PH.D., LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHOEBE",
            "last_name": "OFFICE",
            "middle_name": "B.",
            "prefix": "DR.",
            "credential": "PH.D., LICSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Falmouth, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.