Active NPI
Emily Mayo, LICSW
- Clinical Social Worker
- Rutland, MA
National Provider Identifier
1902494040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 121626
- Practice address
- 6 Thornapple Cir
Rutland, MA 01543-1700 - Phone
- (508) 450-6537
- NPI assigned
- Jan 5, 2021
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 121626 | MA | Primary |
Addresses
Primary practice location
6 Thornapple Cir
Rutland, MA 01543-1700
Mailing address
6 Thornapple Cir
Rutland, MA 01543-1700
Phone (978) 615-5217
Other practice location 1
6 Thornapple Circle
Rutland, MA 01543
Phone (508) 450-6537
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121626 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666915200000",
"number": "1902494040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 THORNAPPLE CIR",
"city": "RUTLAND",
"state": "MA",
"postal_code": "015431700",
"telephone_number": "978-615-5217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 THORNAPPLE CIR",
"city": "RUTLAND",
"state": "MA",
"postal_code": "015431700",
"telephone_number": "508-450-6537"
}
],
"practiceLocations": [
{
"address_1": "6 Thornapple Circle",
"address_purpose": "LOCATION",
"city": "Rutland",
"state": "MA",
"postal_code": "01543",
"country_code": "US",
"telephone_number": "508-450-6537",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAYO",
"first_name": "EMILY",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-05",
"last_updated": "2022-10-28",
"certification_date": "2021-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "121626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rutland, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.