Individual provider Active NPI

Lauren Sousa, LICSW

  • Clinical Social Worker
  • Holden, MA
National Provider Identifier
1962784470
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
119315 Issued in MA
Practice address
800 Main St Ste 123
Holden, MA 01520-1838
Phone
(978) 820-2265
NPI assigned
Sep 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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 119315 MA Primary

Addresses

Primary practice location

800 Main St Ste 123
Holden, MA 01520-1838

Mailing address

800 Main St Ste 123
Holden, MA 01520-1838
Phone (978) 820-2265

Other practice location 1

15 Christopher St
Dorchester, MA 02122-1218
Phone (617) 288-7450 ext. 117

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

LicenseStateTypeSpecialty
119315MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lauren Sousa Counseling, LLC CurrentSince Apr 10, 2022 Accepting new patients

Locations

800 Main St
Ste 123
Holden, MA 01520
Phone (978) 820-2265

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.

NPI Registry JSON

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

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1962784470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MAIN ST STE 123",
            "city": "HOLDEN",
            "state": "MA",
            "postal_code": "015201838",
            "telephone_number": "978-820-2265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MAIN ST STE 123",
            "city": "HOLDEN",
            "state": "MA",
            "postal_code": "015201838",
            "telephone_number": "978-820-2265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Christopher St",
            "address_purpose": "LOCATION",
            "city": "Dorchester",
            "state": "MA",
            "postal_code": "021221218",
            "country_code": "US",
            "telephone_number": "617-288-7450 x117",
            "fax_number": "617-288-7457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOUSA",
        "first_name": "LAUREN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-12",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "119315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holden, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.

Verify at the official NPI Registry.