Individual provider Active NPI

Michael Cascio, LICSW

  • Addiction (Substance Use Disorder) Counselor
  • Boston, MA
National Provider Identifier
1043591209
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
14 Beacon St Ste 801
Boston, MA 02108-3702
Phone
(617) 227-2622
Fax
(617) 227-5447
NPI assigned
Sep 1, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

14 Beacon St Ste 801
Boston, MA 02108-3702

Mailing address

14 Beacon St Ste 801
Boston, MA 02108-3702
Phone (617) 227-2622

Other practice location 1

66 Canal St
4th Floor
Boston, MA 02114-2002
Phone (617) 619-5938

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
I20180509000339 MA Practitioner - Clinical Social Worker 4385908839

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1043591209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 BEACON ST STE 801",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021083702",
            "telephone_number": "617-227-2622",
            "fax_number": "617-227-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 BEACON ST STE 801",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021083702",
            "telephone_number": "617-227-2622",
            "fax_number": "617-227-5447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "66 Canal St",
            "address_2": "4th Floor",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021142002",
            "country_code": "US",
            "telephone_number": "617-619-5938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASCIO",
        "first_name": "MICHAEL",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.