Active NPI
Kathleen M Lingren, MSW
- Clinical Social Worker
- Vineyard Haven, MA
National Provider Identifier
1992861199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 106250
- Practice address
- 95 State Road
Vineyard Haven, MA 02568 - Phone
- (508) 693-8906
- NPI assigned
- Dec 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Mar 20, 2018 through Mar 20, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106250 | MA | MD | Clinical Social Worker |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 106250 | MA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
95 State Road
Vineyard Haven, MA 02568
Mailing address
PO Box 2549
Edgartown, MA 02539-2549
Phone (508) 693-8906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992861199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2549",
"city": "EDGARTOWN",
"state": "MA",
"postal_code": "025392549",
"telephone_number": "508-693-8906",
"fax_number": "508-693-8906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 STATE ROAD",
"city": "VINEYARD HAVEN",
"state": "MA",
"postal_code": "02568",
"telephone_number": "508-693-8906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINGREN",
"first_name": "KATHLEEN",
"middle_name": "M",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "106250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vineyard Haven, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.