Individual provider Active NPI

Stephanie B. Drieze, LICSW

  • Clinical Social Worker
  • Beverly, MA
National Provider Identifier
1083615116
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1018783 Issued in MA
Practice address
8 Thorndike St
Beverly, MA 01915-5858
Phone
(978) 462-2890
Fax
(978) 462-2890
NPI assigned
Aug 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 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 1018783 MA Primary

Addresses

Primary practice location

8 Thorndike St
Beverly, MA 01915-5858

Mailing address

143 State St
Newburyport, MA 01950-6621
Phone (978) 462-2890

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
I20051122000549 MA Practitioner - Clinical Social Worker 6406875293 Practice locations: Beverly, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8 Thorndike St
Suite 4
Beverly, MA 01915-5858
Phone (978) 922-3397

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1018783MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1083615116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 STATE ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019506621",
            "telephone_number": "978-462-2890",
            "fax_number": "978-462-2890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 THORNDIKE ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019155858",
            "telephone_number": "978-462-2890",
            "fax_number": "978-462-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRIEZE",
        "first_name": "STEPHANIE",
        "middle_name": "B.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1018783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

Verify at the official NPI Registry.