Individual provider Active NPI

James Edward Stockwell, LICSW

  • Clinical Social Worker
  • Topsfield, MA
National Provider Identifier
1972662468
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1029745 Issued in MA
Practice address
18 S Main St
Suite 203
Topsfield, MA 01983-1800
Phone
(978) 887-5546
Fax
(978) 887-5546
NPI assigned
Dec 8, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 1029745 MA Primary

Addresses

Primary practice location

18 S Main St
Suite 203
Topsfield, MA 01983-1800

Mailing address

42 Anderson Dr
Boxford, MA 01921-1409
Phone (978) 887-5546

Other identifiers 1

IdentifierTypeStateIssuer
1890620MedicaidMA

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
I20050808000533 MA Practitioner - Clinical Social Worker 7315976651 Practice locations: Topsfield, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

18 S Main St
Topsfield, MA 01983-1800
Phone (978) 887-5546

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1029745MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1972662468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 ANDERSON DR",
            "city": "BOXFORD",
            "state": "MA",
            "postal_code": "019211409",
            "telephone_number": "978-887-5546",
            "fax_number": "978-887-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 S MAIN ST",
            "address_2": "SUITE 203",
            "city": "TOPSFIELD",
            "state": "MA",
            "postal_code": "019831800",
            "telephone_number": "978-887-5546",
            "fax_number": "978-887-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKWELL",
        "first_name": "JAMES",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1029745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1890620",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topsfield, MA

Sources for this page

Verify at the official NPI Registry.