Individual provider Active NPI

Luisa H Pires-Depina

  • Social Worker
  • Brockton, MA
National Provider Identifier
1134890684
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
10 Christy Dr
Brockton, MA 02301-1812
Phone
(508) 580-8700
NPI assigned
Sep 24, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

10 Christy Dr
Brockton, MA 02301-1812

Mailing address

10 Christy Dr
Brockton, MA 02301-1812
Phone (508) 580-8700

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL BROCKTON Direct

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
I20250212000124 MA Practitioner - Clinical Social Worker 8022548692 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Supportive Behavioral Care of Mass LLCGroup PAC ID 8123530169, 49 clinicians
Supportive Behavioral Care of Ma LLCGroup PAC ID 8628346731, 103 clinicians

Practice addresses (Care Compare)

2 Beaumont Ave
Brockton, MA 02302-3302
Phone (718) 506-1115

44 School St
RM 325
Boston, MA 02108-4209
Phone (718) 298-4375

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Behavioral Care of Mass LLC Social Worker CurrentSince May 13, 2025 Accepting new patients
Supportive Behavioral Care of Ma LLC Multi-Specialty CurrentSince Jan 15, 2025 Accepting new patients

Locations

75 Brimbal Ave
Beverly, MA 01915
Phone (978) 685-2460

44 School St
Rm 325
Boston, MA 02108
Phone (508) 831-8558

2 Beaumont Ave
Brockton, MA 02302
Phone (508) 588-8500

11 North St
Stoneham, MA 02180
Phone (603) 759-4559

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1134890684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CHRISTY DR",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011812",
            "telephone_number": "508-580-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CHRISTY DR",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011812",
            "telephone_number": "508-580-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIRES-DEPINA",
        "first_name": "LUISA",
        "middle_name": "H",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-24",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "BROCKTON",
            "affiliation": "N",
            "endpointDescription": "luisahdepina@gmail.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "10 Christy Dr",
            "city": "Brockton",
            "state": "MA",
            "country_code": "US",
            "postal_code": "023011812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.