Individual provider Active NPI

Elizabeth Ann Barr, LICSW

  • Clinical Social Worker
  • Milford, MA
National Provider Identifier
1992975965
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
114828 Issued in MA
Practice address
409 Fortune Blvd
Suite 101
Milford, MA 01757-1741
Phone
(508) 259-9282
NPI assigned
Mar 6, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 114828 MA
Clinical Social Worker 1041C0700X 114828 MA Primary

Addresses

Primary practice location

409 Fortune Blvd
Suite 101
Milford, MA 01757-1741

Mailing address

409 Fortune Blvd
Suite 101
Milford, MA 01757-1741
Phone (508) 259-9282

Other names 1

  • Elizabeth Ann Slote Former name

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
I20170329000342 MA Practitioner - Clinical Social Worker 7315222676 Practice locations: Blackstone, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Blackstone, MA 01504
Phone (508) 259-9282

4 Crestwood Dr
Blackstone, MA 01504-1108

4 Fairway Lane
Blackstone, MA 01504-2315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
114828MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Barr Licsw LLC CurrentSince Jun 28, 2020 Accepting new patients
Milford Franklin Counseling Services Inc Clinical Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489536000000",
    "number": "1992975965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 FORTUNE BLVD",
            "address_2": "SUITE 101",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017571741",
            "telephone_number": "508-259-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 FORTUNE BLVD",
            "address_2": "SUITE 101",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017571741",
            "telephone_number": "508-259-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARR",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-06",
        "last_updated": "2017-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "114828",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "114828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "SLOTE",
            "middle_name": "ANN",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milford, MA

Sources for this page

Verify at the official NPI Registry.