Active NPI
Carol A Hannon, LICSW
- Clinical Social Worker
- Westborough, MA
National Provider Identifier
1962606335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1015650
- Practice address
- 21 Longmeadow Rd
Moak Associates
Westborough, MA 01581-2419 - Phone
- (508) 898-8650
- Fax
- (508) 870-9793
- NPI assigned
- Jun 12, 2007
- Sex
- Female
- 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 | 1015650 | MA | Primary |
Addresses
Primary practice location
21 Longmeadow Rd
Moak Associates
Westborough, MA 01581-2419
Mailing address
PO Box 260
Moak Associates
Westborough, MA 01581-0260
Phone (508) 898-8650
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Health Management, LLP | Past | Accepting new patients | |
| Golden Insight Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Hanover, MA
- NPI 1235711839
-
- Geriatric Psychiatry Physician
- Hanover, MA
- NPI 1952319733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198022400000",
"number": "1962606335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 260",
"address_2": "MOAK ASSOCIATES",
"city": "WESTBOROUGH",
"state": "MA",
"postal_code": "015810260",
"telephone_number": "508-898-8650",
"fax_number": "508-870-9793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 LONGMEADOW RD",
"address_2": "MOAK ASSOCIATES",
"city": "WESTBOROUGH",
"state": "MA",
"postal_code": "015812419",
"telephone_number": "508-898-8650",
"fax_number": "508-870-9793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNON",
"first_name": "CAROL",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-12",
"last_updated": "2007-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1015650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.