Active NPI
Kelly Ann Zucco, L.I.C.S.W.
- Clinical Social Worker
- Wareham, MA
National Provider Identifier
1033281092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LICSW # 110331
- Practice address
- 114 High St
Wareham, MA 02571-2052 - Phone
- (508) 295-2699
- NPI assigned
- Nov 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | LICSW # 110331 | MA | Primary |
Addresses
Primary practice location
114 High St
Wareham, MA 02571-2052
Mailing address
9 Melissa Ann LN
Mattapoisett, MA 02739-1078
Phone (508) 758-4525
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081128000005 | MA | Practitioner - Clinical Social Worker | 5092875633 | Practice locations: Mattapoisett, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1 County Rd
Suite B
Mattapoisett, MA 02739-1584
Phone (508) 817-7741
PO Box
Suite 635
Mattapoisett, MA 02739
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LICSW # 110331 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033281092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 MELISSA ANN LN",
"city": "MATTAPOISETT",
"state": "MA",
"postal_code": "027391078",
"telephone_number": "508-758-4525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 HIGH ST",
"city": "WAREHAM",
"state": "MA",
"postal_code": "025712052",
"telephone_number": "508-295-2699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUCCO",
"first_name": "KELLY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "L.I.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "LICSW # 110331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wareham, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.