Active NPI
Robert Eisenstein, LICSW
- Clinical Social Worker
- Plymouth, MA
National Provider Identifier
1992288609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1026316
- Practice address
- 15 Gallagher Dr
Plymouth, MA 02360-1407 - Phone
- (508) 927-2068
- NPI assigned
- Sep 9, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1026316 | MA | Primary |
Addresses
Primary practice location
15 Gallagher Dr
Plymouth, MA 02360-1407
Mailing address
15 Gallagher Dr
Plymouth, MA 02360-1407
Phone (508) 927-2068
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1026316 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536451200000",
"number": "1992288609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 GALLAGHER DR",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023601407",
"telephone_number": "508-927-2068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 GALLAGHER DR",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023601407",
"telephone_number": "508-927-2068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EISENSTEIN",
"first_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-09-09",
"last_updated": "2018-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1026316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.