Individual provider Active NPI

Elizabethe M Rego-Medeiros, MSW, LICSW

  • Clinical Social Worker
  • Fall River, MA
National Provider Identifier
1073235321
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
277 Pleasant St Ste 437
Fall River, MA 02721-3005
Phone
(774) 301-8315
NPI assigned
Sep 14, 2022
Last updated
Sep 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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 NU Primary

Addresses

Primary practice location

277 Pleasant St Ste 437
Fall River, MA 02721-3005

Mailing address

233 Caroline St
New Bedford, MA 02740-4625
Phone (508) 274-9815

Other practice location 1

1 Richmond Sq Ste 129C
Providence, RI 02906-5155
Phone (401) 526-2906

Other names 1

  • Elizabeth M. Rego Former name

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
I20250124000546 MA Practitioner - Clinical Social Worker 3375072028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prima Care, PCGroup PAC ID 2567356017, 222 clinicians

Practice addresses (Care Compare)

277 Pleasant St
FL 4
Fall River, MA 02721-3005
Phone (508) 676-3292

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
226849MAMDMental Health Counselor
128672MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Prima Care, PC Multi-Specialty CurrentSince Mar 3, 2025 Accepting new patients
Prima Care, PC Multi-Specialty CurrentSince Mar 3, 2025 Accepting new patients
Child & Family Services, Inc. Mental Health PastSince Sep 1, 2022 Accepting new patients

Locations

277 Pleasant St
Fl 4
Fall River, MA 02721
Phone 50867632921244

277 Pleasant St
Ste 437
Fall River, MA 02721
Phone (774) 301-8315

67 Slades Ferry Ave
Somerset, MA 02726
Phone (508) 673-9400

Interoperability endpoints

  • Direct secure messaging: elizabethe.regomedeiros@prima.eclinicaldirectplus.com

Organizations & group practices 3

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": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1073235321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 CAROLINE ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027404625",
            "telephone_number": "508-274-9815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 PLEASANT ST STE 437",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027213005",
            "telephone_number": "774-301-8315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Richmond Sq Ste 129C",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029065155",
            "country_code": "US",
            "telephone_number": "401-526-2906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REGO-MEDEIROS",
        "first_name": "ELIZABETHE",
        "middle_name": "M",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-14",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "REGO",
            "middle_name": "M.",
            "credential": "MSW,LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.