Individual provider Active NPI

Frank Joseph Vangeli, LICSW

  • Clinical Social Worker
  • Groton, MA
National Provider Identifier
1063567360
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
105897 Issued in MA
Practice address
12 Hemlock Park Dr
Groton, MA 01450-1450
Phone
(978) 448-2872
Fax
(978) 449-0182
NPI assigned
Jan 24, 2007
Sex
Male
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 105897 MA Primary

Addresses

Primary practice location

12 Hemlock Park Dr
Groton, MA 01450-1450

Mailing address

12 Hemlock Park Dr
Groton, MA 01450-1450
Phone (978) 448-2872

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
I20051206000158 MA Practitioner - Clinical Social Worker 1759301716 Practice locations: Groton, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

12 Hemlock Park Dr
Groton, MA 01450-1450
Phone (978) 448-2872

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063567360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 HEMLOCK PARK DR",
            "city": "GROTON",
            "state": "MA",
            "postal_code": "014501450",
            "telephone_number": "978-448-2872",
            "fax_number": "978-449-0182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 HEMLOCK PARK DR",
            "city": "GROTON",
            "state": "MA",
            "postal_code": "014501450",
            "telephone_number": "978-448-2872",
            "fax_number": "978-449-0182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANGELI",
        "first_name": "FRANK",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "105897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groton, MA

Sources for this page

Verify at the official NPI Registry.