Individual provider Active NPI

Kathi Paige

  • Clinical Social Worker
  • E Bridgewater, MA
National Provider Identifier
1962626747
Registry record updated Feb 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
113867 Issued in MA
Practice address
36 N Bedford St
E Bridgewater, MA 02333-1186
Phone
(508) 378-9000
Fax
(781) 878-8645
NPI assigned
Apr 12, 2007
Last updated
Feb 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 113867 MA Primary

Addresses

Primary practice location

36 N Bedford St
E Bridgewater, MA 02333-1186

Mailing address

176 Chestnut St
Abington, MA 02351-1150
Phone (781) 871-6360

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100525000916 MA Practitioner - Clinical Social Worker 6507995818 Practice locations: E Bridgewater, MA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
113867MAMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549670400000",
    "number": "1962626747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 CHESTNUT ST",
            "city": "ABINGTON",
            "state": "MA",
            "postal_code": "023511150",
            "telephone_number": "781-871-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 N BEDFORD ST",
            "city": "E BRIDGEWATER",
            "state": "MA",
            "postal_code": "023331186",
            "telephone_number": "508-378-9000",
            "fax_number": "781-878-8645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAIGE",
        "first_name": "KATHI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2019-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in E Bridgewater, MA

Sources for this page

Verify at the official NPI Registry.