Active NPI
Deborah-Ruth Mockrin, LICSW
- Clinical Social Worker
- Acton, MA
National Provider Identifier
1992859276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 101783
- Practice address
- 219 Nagog Hill Rd
Acton, MA 01720-3227 - Phone
- (978) 635-0225
- NPI assigned
- Jan 23, 2007
- Sex
- Female
- 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 | 101783 | MA | Primary |
Addresses
Primary practice location
219 Nagog Hill Rd
Acton, MA 01720-3227
Mailing address
219 Nagog Hill Rd
Acton, MA 01720-3227
Phone (978) 635-0225
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101783 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374192000000",
"number": "1992859276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 NAGOG HILL RD",
"city": "ACTON",
"state": "MA",
"postal_code": "017203227",
"telephone_number": "978-635-0225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 NAGOG HILL RD",
"city": "ACTON",
"state": "MA",
"postal_code": "017203227",
"telephone_number": "978-635-0225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOCKRIN",
"first_name": "DEBORAH-RUTH",
"name_prefix": "Ms.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2013-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "101783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Acton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.