Active NPI
Mellissa J Rearick, LICSW
- Clinical Social Worker
- Framingham, MA
National Provider Identifier
1023096930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 113171
- Practice address
- 99 Lincoln St
Cancer Care Center
Framingham, MA 01702-6327 - Phone
- (508) 383-8529
- Fax
- (508) 383-8584
- NPI assigned
- Jan 3, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 113171 | MA | Primary |
Addresses
Primary practice location
99 Lincoln St
Cancer Care Center
Framingham, MA 01702-6327
Mailing address
99 Lincoln St
Cancer Care Center
Framingham, MA 01702-6327
Phone (508) 383-8529
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 92684 | Other | FALLON COMMUNITY HEALTH | |
| 042472266 | Other | TRICARE CHAMPUS | |
| P23784 | Other | MEDICARE B | |
| 042472266 | Other | ONE HEALTH PLAN |
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 |
|---|---|---|---|
| 113171 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407110400000",
"number": "1023096930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 LINCOLN ST",
"address_2": "CANCER CARE CENTER",
"city": "FRAMINGHAM",
"state": "MA",
"postal_code": "017026327",
"telephone_number": "508-383-8529",
"fax_number": "508-383-8584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 LINCOLN ST",
"address_2": "CANCER CARE CENTER",
"city": "FRAMINGHAM",
"state": "MA",
"postal_code": "017026327",
"telephone_number": "508-383-8529",
"fax_number": "508-383-8584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REARICK",
"first_name": "MELLISSA",
"middle_name": "J",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-03",
"last_updated": "2014-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "113171",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON COMMUNITY HEALTH",
"identifier": "92684",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE CHAMPUS",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE B",
"identifier": "P23784",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ONE HEALTH PLAN",
"identifier": "042472266",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Framingham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.