Wendy Ackley
Individual provider Active NPI Clinical Social Worker · Auburn, MA
NPI 1104366129 · NPPES record last updated Apr 8, 2021
Key facts
- NPI
- 1104366129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 111634 (MA)
- Practice address
- 67 School Street
Auburn, MA 01501 - Phone
- (774) 318-8842
- NPI assigned
- Feb 24, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1996
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
67 School St
Auburn, MA 01501-2929
Phone (774) 318-8842
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180521001227 | MA | Practitioner - Clinical Social Worker | 0042575185 | Practice locations: Auburn, MA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 111634 | MA | |
| Clinical Social Worker | 1041C0700X | 111634 | MA | Yes |
Addresses
Primary practice location
67 School Street
Auburn, MA 01501
Mailing address
P.O. Box 133
Manchaug, MA 01526
Phone (774) 318-8842
Other providers in Auburn, MA
- A Plus Home Health LLC
- Accessible Home Health Care of Central Massachusetts
- Achieve ABA
- Advantage Home Care Systems LLC
- Advantage Vna, LLC
- Christopher Afonso
- Achal Aggarwal
- Anissa Adwoa Agyei
All providers in Auburn, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.