Individual provider Active NPI

Marjorie Pearson, L.I.C.S.W.

  • Clinical Social Worker
  • Wakefield, MA
National Provider Identifier
1013089887
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1025931 Issued in MA
Practice address
338 Main St
Wakefield, MA 01880-5013
Phone
(781) 246-2010
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1025931 MA Primary

Addresses

Primary practice location

338 Main St
Wakefield, MA 01880-5013

Mailing address

30 Miller Rd
Wilmington, MA 01887-3512
Phone (978) 988-1331

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
I20050801001035 MA Practitioner - Clinical Social Worker 0648208587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Riverside Community Care IncGroup PAC ID 6709799885, 117 clinicians

Practice addresses (Care Compare)

190 Lenox St
Norwood, MA 02062-3416
Phone (781) 769-8670

64 Eldredge St
Newton, MA 02458-2017
Phone (617) 969-4925

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Community Care, Inc. CurrentSince Oct 1, 1995 Accepting new patients
Daniel B. Fisher,MD Past Accepting new patients

Locations

270 Bridge St
Ste 301
Dedham, MA 02026
Phone (617) 230-9905

6 Kimball Ln
Ste 310
Lynnfield, MA 01940
Phone (781) 245-2322

190 Lenox St
Norwood, MA 02062
Phone (781) 769-8670

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013089887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MILLER RD",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018873512",
            "telephone_number": "978-988-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 MAIN ST",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018805013",
            "telephone_number": "781-246-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "MARJORIE",
        "name_prefix": "Mrs.",
        "credential": "L.I.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1025931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, MA

Sources for this page

Verify at the official NPI Registry.