Active NPI
Allegra Welly
- Clinical Social Worker
- Beverly, MA
National Provider Identifier
1083074009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 121207
- Practice address
- 100 Cummings Ctr Ste 451C
Beverly, MA 01915-6132 - Phone
- (800) 225-0634
- NPI assigned
- Mar 3, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 121207 | MA | Primary |
Addresses
Primary practice location
100 Cummings Ctr Ste 451C
Beverly, MA 01915-6132
Mailing address
575 Beech St
Holyoke, MA 01040-2223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
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": "1456963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594771200000",
"number": "1083074009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 BEECH ST",
"city": "HOLYOKE",
"state": "MA",
"postal_code": "010402223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CUMMINGS CTR STE 451C",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019156132",
"telephone_number": "800-225-0634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLY",
"first_name": "ALLEGRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-03",
"last_updated": "2020-07-15",
"certification_date": "2020-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "121207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beverly, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.