Individual provider Active NPI

Melissa Durei Seastead, LICSW

  • Clinical Social Worker
  • Wellesley, MA
National Provider Identifier
1023071834
Registry record updated Apr 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
110623 Issued in MA
Practice address
11 River St
Colony Care Behavioral Health
Wellesley, MA 02481-2098
Phone
(781) 431-1177
Fax
(781) 431-1181
NPI assigned
Apr 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2009

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 110623 MA Primary

Addresses

Primary practice location

11 River St
Colony Care Behavioral Health
Wellesley, MA 02481-2098

Mailing address

416 Boston Post Rd
Suite 202
Sudbury, MA 01776-3016
Phone (781) 431-1177

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
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 1, 2017 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
110623MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239321600000",
    "number": "1023071834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 BOSTON POST RD",
            "address_2": "SUITE 202",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017763016",
            "telephone_number": "781-431-1177",
            "fax_number": "781-431-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 RIVER ST",
            "address_2": "COLONY CARE BEHAVIORAL HEALTH",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024812098",
            "telephone_number": "781-431-1177",
            "fax_number": "781-431-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEASTEAD",
        "first_name": "MELISSA",
        "middle_name": "DUREI",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2009-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "110623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

Verify at the official NPI Registry.