Alicia Nichola Anderson, MSW
Individual provider Active NPI Mental Health Counselor · Leominster, MA
NPI 1033423116 · NPPES record last updated Aug 2, 2010
Key facts
- NPI
- 1033423116
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 45 Summer St
Leominster, MA 01453-3228 - Phone
- (978) 534-6116
- NPI assigned
- Aug 2, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Reliant Medical Group Inc
Practice addresses (Care Compare)
225 New Lancaster Rd
Leominster, MA 01453-4958
Phone (978) 534-6500
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200303000863 | MA | Practitioner - Clinical Social Worker | 3274960380 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ald Counseling Services | Current | Accepting new patients | |
| Reliant Medical Group, Inc | Current |
Accepting new patients |
Locations
225 New Lancaster Rd
Leominster, MA 01453
Phone (978) 466-3208
5 Neponset St
Worcester, MA 01606
Phone (508) 595-2300
Interoperability endpoints
- alicia.anderson.npi1033423116.reliant@direct.optumcare.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
45 Summer St
Leominster, MA 01453-3228
Mailing address
5 Turnpike Rd Apt 134
Townsend, MA 01469-1044
Phone (978) 413-8893
Other providers in Leominster, MA
- Mahal Alvarez-Backus
- Always on Call Health Services, Inc
- David W. Ammerman
- Leticia Pokuaa Amofah
- Nadege M Amuwum
- Jane A Anderson
- Juliette Anderson
- Rachel Ashlee Andler
- Andreja Packard, MD, PC
- Rebecca Elizabeth Andrews
All providers in Leominster, MA · Mental Health Counselor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.