Alice Harty

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

000122857 Issued in MA

Practice address

352 Lafayette St
Salem, MA 01970-5348

Phone

(978) 219-4722

NPI assigned

Apr 11, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Deep Roots Wellness LLC

  • Clinical Social Worker
  • Salem, MA
  • NPI 1811507874
  NPD Authorized official

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1972036465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 WASHINGTON ST # 163",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019703607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 LAFAYETTE ST",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019705348",
            "telephone_number": "978-219-4722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Boston St",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "MA",
            "postal_code": "019701402",
            "country_code": "US",
            "telephone_number": "914-419-9536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "203 Washington St # 163",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "MA",
            "postal_code": "019703607",
            "country_code": "US",
            "telephone_number": "978-219-4722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTY",
        "first_name": "ALICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-11",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "000122857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devin James Harper
• Kendra C. Harris, LICSW
• Julia Lynn Harshaw
• Melinda Elia Hart, PT
• Ronald C Hartfelder, MD
• Faysal M. Hasan, MD
• Afnan Hasanain, MD
• Tariq Mohammad Hashmi, M.D.
• Rebecca Hayden
• Health and Education Services

• Clinical Social Worker in Salem, MA
• Providers in Salem, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; 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.