Individual provider Active NPI

Elio Carretta, LICSW

  • Social Worker
  • Hingham, MA
National Provider Identifier
1063577252
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
1029404 Issued in MA
Practice address
210 Whiting Place
Suite # 5
Hingham, MA 02043-3724
Phone
(781) 740-2272
Fax
(339) 200-8034
NPI assigned
Dec 27, 2006
Last updated
Oct 27, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 1029404 MA Primary

Addresses

Primary practice location

210 Whiting Place
Suite # 5
Hingham, MA 02043-3724

Mailing address

210 Whiting Place
Suite # 5
Hingham, MA 02043-3724
Phone (781) 740-2272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1029404MAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brigham & Womens Physicians Organization Inc CurrentSince Mar 12, 2018 Accepting new patients
Brigham and Women's Hospital Current Accepting new patients
Cambridge Public Health Commission CurrentSince Mar 4, 1998 Accepting new patients
Cambridge Public Health Commission CurrentSince Mar 4, 1998 Accepting new patients

Locations

75 Francis St
Boston, MA 02115

1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185

350 Main St
Ste 31
Malden, MA 02148
Phone (781) 397-6583

Interoperability endpoints

  • Direct secure messaging: carretta.elio.bwh@direct.partners.masshiway.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319673600000",
    "number": "1063577252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 WHITING PLACE",
            "address_2": "SUITE # 5",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020433724",
            "telephone_number": "781-740-2272",
            "fax_number": "339-200-8034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 WHITING PLACE",
            "address_2": "SUITE # 5",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020433724",
            "telephone_number": "781-740-2272",
            "fax_number": "339-200-8034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRETTA",
        "first_name": "ELIO",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2011-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "1029404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hingham, MA

Sources for this page

Verify at the official NPI Registry.