Individual provider Active NPI

Marisa L Baronas, LICSW

  • Clinical Social Worker
  • Norwell, MA
National Provider Identifier
1154077956
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
125366 Issued in MA
Practice address
80 Washington St Ste D28
Norwell, MA 02061-1741
Phone
(781) 689-0370
NPI assigned
Mar 1, 2022
Last updated
Aug 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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 125366 MA Primary

Addresses

Primary practice location

80 Washington St Ste D28
Norwell, MA 02061-1741

Mailing address

77 Priscilla Beach Rd
Plymouth, MA 02360-2023
Phone (781) 706-5312

Other practice location 1

77 Priscilla Beach Rd
Plymouth, MA 02360-2023
Phone (781) 706-5312

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
I20231019002928 MA Practitioner - Clinical Social Worker 0941656490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Access for Change LLCGroup PAC ID 0840601902, 9 clinicians

Practice addresses (Care Compare)

80 Washington St
BLDG D Unit 28
Norwell, MA 02061-1740
Phone (781) 871-2212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
125366MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Access for Change, LLC Clinical CurrentSince Jun 7, 2024 Accepting new patients

Locations

80 Washington St
Ste D28
Norwell, MA 02061
Phone (781) 329-5509

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1154077956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 PRISCILLA BEACH RD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023602023",
            "telephone_number": "781-706-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 WASHINGTON ST STE D28",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611741",
            "telephone_number": "781-689-0370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77 Priscilla Beach Rd",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MA",
            "postal_code": "023602023",
            "country_code": "US",
            "telephone_number": "781-706-5312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARONAS",
        "first_name": "MARISA",
        "middle_name": "L",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-01",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "125366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwell, MA

Sources for this page

Verify at the official NPI Registry.