Marybeth Longval-Harnish, L.I.C.S.W.

Key facts

NPI

1871898403

Entity type

Individual (NPI type 1)

Primary specialty

Social Worker 104100000X

License

116637 (MA)

Practice address

2016 Ocean St Ste 3
Marshfield, MA 02050-3115

Phone

(781) 361-0927

NPI assigned

Jan 12, 2011

Sex

Female

Sole proprietor

Yes

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.

• Aspirations Unlimited LLC Clinical Social Worker · Scituate, MA · NPI 1194122986
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 1, 2017.

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512086400000",
    "number": "1871898403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 OCEAN ST STE 3",
            "city": "MARSHFIELD",
            "state": "MA",
            "postal_code": "020503115",
            "telephone_number": "781-361-0927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 OCEAN ST STE 3",
            "city": "MARSHFIELD",
            "state": "MA",
            "postal_code": "020503115",
            "telephone_number": "781-361-0927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGVAL-HARNISH",
        "first_name": "MARYBETH",
        "credential": "L.I.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-12",
        "last_updated": "2017-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "116637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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