Individual provider Active NPI

Tricia Mary Terpolilli, LICSW

  • Clinical Social Worker
  • Beverly, MA
National Provider Identifier
1154421329
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
111991 Issued in MA
Practice address
100 Cummings Ctr Ste 456J
Beverly, MA 01915-6132
Phone
(978) 921-4000
Fax
(978) 921-7530
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 111991 MA Primary

Addresses

Primary practice location

100 Cummings Ctr Ste 456J
Beverly, MA 01915-6132

Mailing address

150 W Springfield St
Boston, MA 02118-1404
Phone (617) 290-8038

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
I20040915000044 MA Practitioner - Clinical Social Worker 0345217725 Practice locations: Danvers, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

89 Newbury St
Suite 101
Danvers, MA 01923-1098
Phone (978) 774-0500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Psychiatric & Psychological Associates, P.C. Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154421329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W SPRINGFIELD ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021181404",
            "telephone_number": "617-290-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR STE 456J",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156132",
            "telephone_number": "978-921-4000",
            "fax_number": "978-921-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERPOLILLI",
        "first_name": "TRICIA",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "111991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

Verify at the official NPI Registry.