Individual provider Active NPI

Angela C Grattaroti, MSW LICSW

  • Clinical Social Worker
  • Leominster, MA
National Provider Identifier
1043282288
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
MA104757 Issued in MA
Practice address
53 Merriam Ave
Leominster, MA 01453-3194
Phone
(978) 534-1872
NPI assigned
Feb 2, 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 MA104757 MA Primary

Addresses

Primary practice location

53 Merriam Ave
Leominster, MA 01453-3194

Mailing address

53 Merriam Ave
Leominster, MA 01453-3194

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
I20050909000194 MA Practitioner - Clinical Social Worker 8527090687 Practice locations: Leominster, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Oakland College of Medicine and Surgery, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

53 Merriam Ave
Leominster, MA 01453-3194
Phone (978) 534-1872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MA104757MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043282288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 MERRIAM AVE",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014533194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 MERRIAM AVE",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014533194",
            "telephone_number": "978-534-1872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRATTAROTI",
        "first_name": "ANGELA",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "MSW LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "MA104757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leominster, MA

Sources for this page

Verify at the official NPI Registry.