Active NPI
Taylor Lauren Charbonnier, LCSW
- Social Worker
- Lowell, MA
National Provider Identifier
1881293413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 334076
- Practice address
- 336 Central St
Lowell, MA 01852-2609 - Phone
- (978) 674-6700
- NPI assigned
- Oct 24, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 334076 | MA | Primary |
Addresses
Primary practice location
336 Central St
Lowell, MA 01852-2609
Mailing address
46 Old Derry Rd
Hudson, NH 03051-3302
Phone (603) 305-4670
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 224076 | Medicaid | MA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 334076 | MA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603497600000",
"number": "1881293413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 OLD DERRY RD",
"city": "HUDSON",
"state": "NH",
"postal_code": "030513302",
"telephone_number": "603-305-4670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "336 CENTRAL ST",
"city": "LOWELL",
"state": "MA",
"postal_code": "018522609",
"telephone_number": "978-674-6700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARBONNIER",
"first_name": "TAYLOR",
"middle_name": "LAUREN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-24",
"last_updated": "2020-10-24",
"certification_date": "2020-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "334076",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "224076",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.