Active NPI
Patrick C McCarthy, PHD, LICSW
- Clinical Social Worker
- Mattapoisett, MA
National Provider Identifier
1932199569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 103259
- Practice address
- 19 County Rd
Mattapoisett, MA 02739-1584 - Phone
- (508) 758-3754
- Fax
- (508) 758-3755
- NPI assigned
- Oct 25, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 | 103259 | MA | Primary |
Addresses
Primary practice location
19 County Rd
Mattapoisett, MA 02739-1584
Mailing address
PO Box 71
19 County Road
Mattapoisett, MA 02739-0071
Phone (508) 758-3754
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851331 | Medicaid | MA | |
| 017882 | Other | VALUEOPTIONS | |
| 063493000 | Other | MAGELLAN BEHAVIORAL HEALT | |
| 1041394 | Other | CIGNA BEHAVIORAL HEALTH | |
| 126506 | Other | COMPSYCH | |
| 406307 | Other | RI | BLUE CHIP BCBS RI |
| 757524 | Other | TUFTS HEALTH CARE | |
| 095058 | Other | MANAGED HEALTH NETWORK | |
| 1P086418 | Other | HUMAN AFFAIRS INT'L | |
| 3851-7 | Other | RI | BCBS RI |
| 5681738 | Other | AETNA BEHAVIORAL HEALTH | |
| 286320 | Other | PRIVATE HEALTHCARE SYS | |
| 6253793 | Other | UNITED BEHAVIORAL HEALTH | |
| PM35876 | Medicaid | RI | |
| S017173 | Other | CHAMPUS | |
| 1891898 | Other | MA | MASS BEHAVIORAL HEALTH PA |
| 25576 | Other | MA | MBC HEALTHNET |
| P01380 | Other | MA | BCBS MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050916000516 | MA | Practitioner - Clinical Social Worker | 4284667585 | Practice locations: Mattapoisett, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
19 County Rd
Mattapoisett, MA 02739-1577
Phone (508) 758-3754
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-Town Counseling, LLC | Clinical | Past | Accepting new patients |
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.
-
- Clinical Social Worker
- Mattapoisett, MA
- NPI 1366432999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424736000000",
"number": "1932199569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 71",
"address_2": "19 COUNTY ROAD",
"city": "MATTAPOISETT",
"state": "MA",
"postal_code": "027390071",
"telephone_number": "508-758-3754",
"fax_number": "508-758-3755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 COUNTY RD",
"city": "MATTAPOISETT",
"state": "MA",
"postal_code": "027391584",
"telephone_number": "508-758-3754",
"fax_number": "508-758-3755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTHY",
"first_name": "PATRICK",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "PHD, LICSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-25",
"last_updated": "2015-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "103259",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1851331",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUEOPTIONS",
"identifier": "017882",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN BEHAVIORAL HEALT",
"identifier": "063493000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL HEALTH",
"identifier": "1041394",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH",
"identifier": "126506",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP BCBS RI",
"identifier": "406307",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH CARE",
"identifier": "757524",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HEALTH NETWORK",
"identifier": "095058",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMAN AFFAIRS INT'L",
"identifier": "1P086418",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS RI",
"identifier": "3851-7",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA BEHAVIORAL HEALTH",
"identifier": "5681738",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE HEALTHCARE SYS",
"identifier": "286320",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "6253793",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PM35876",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "S017173",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASS BEHAVIORAL HEALTH PA",
"identifier": "1891898",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MBC HEALTHNET",
"identifier": "25576",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MA",
"identifier": "P01380",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mattapoisett, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.