NPIMap

Organization Active NPI

Andrea Difilippo, Licsw & Associates, Inc

  • Clinical Social Worker
  • Marion, MA
National Provider Identifier
1134436900
Registry record updated Sep 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
108049 Issued in MA
Legal business name
ANDREA DIFILIPPO, LICSW & ASSOCIATES, INC
Practice address
119 Wareham Road, Suite 104
Marion, MA 02738
Phone
(508) 748-3131
Fax
(508) 748-3197
NPI assigned
Sep 1, 2010
Last updated
Sep 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2010

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

Authorized official

Name
Andrea Celeste Difilippo, LICSWNPI 1730269903
Title
Owner
Phone
(508) 965-9657

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 108049 MA Primary

Addresses

Primary practice location

119 Wareham Road, Suite 104
Marion, MA 02738

Mailing address

82 County Road PMB #1
Mattapoisett, MA 02739-1651
Phone (508) 965-9657

Other identifiers 4

IdentifierTypeStateIssuer
PO 7639OtherMABCBS OF MA
008640OtherMAVALUE OPTIONS/UBH
350155OtherMAMAGELLAN
764673OtherMATUFTS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130905000443 MA Part B Supplier - Clinic/Group Practice 8123261468 Receives reassigned benefits from 2 practitioners
Practice locations: Marion, MA

National Provider Directory

National Provider Directory
Tax ID family
Andrea C Difilippo Licsw Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

82 County Rd
Mattapoisett, MA 02739
Phone (508) 418-9186

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283299200000",
    "number": "1134436900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 COUNTY ROAD PMB #1",
            "city": "MATTAPOISETT",
            "state": "MA",
            "postal_code": "027391651",
            "telephone_number": "508-965-9657",
            "fax_number": "508-748-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 WAREHAM ROAD, SUITE 104",
            "city": "MARION",
            "state": "MA",
            "postal_code": "02738",
            "telephone_number": "508-748-3131",
            "fax_number": "508-748-3197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA DIFILIPPO, LICSW & ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-01",
        "last_updated": "2010-09-01",
        "status": "A",
        "authorized_official_last_name": "DIFILIPPO",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "CELESTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-965-9657",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "108049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MA",
            "identifier": "PO 7639",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS/UBH",
            "identifier": "008640",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "350155",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "764673",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.