Kerri Ellen Pelton, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

216949 Issued in MA

Practice address

18 Newton St
Brockton, MA 02301-5115

Phone

(508) 583-6498

Fax

(508) 583-3775

NPI assigned

May 9, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kerri Dortichon Other name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Northeast Health Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Taunton, MA
  • NPI 1225067481

  MA

  Medicare reassignment NPD
• We Believe Therapy and Consulting LLC

  • Mental Health Counselor
  • Attleboro, MA
  • NPI 1427836758

  MA

  Medicare reassignment NPD
• Family and Community Resources, Inc.

  • Community/Behavioral Health Agency
  • Brockton, MA
  • NPI 1821159880
  NPD (past)

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

{
    "created_epoch": "1399593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1992116131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 NEWTON ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023015115",
            "telephone_number": "508-583-6498",
            "fax_number": "508-583-3775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 NEWTON ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023015115",
            "telephone_number": "508-583-6498",
            "fax_number": "508-583-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELTON",
        "first_name": "KERRI",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-09",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "216949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRI",
            "last_name": "DORTICHON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Pearl Street Pharmacy
• Tiron C.M. Pechet, M.D.
• Kathleen Peck, MSW,LICSW
• Pediatric Associates Inc. of Brockton
• Pediatric Services of America, LLC
• Victoria Amelia Pena Objio
• Britt Linnea Pena, MD
• Miguel Angel Pena, MD
• Rachel Pena
• People'S Best Care Chiropractic & Rehabilitation Inc.

• All providers in Brockton, MA
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.