Annadora S. Maloney, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

119496 Issued in MA

Practice address

506 Boston Post Rd
Weston, MA 02493-1529

Phone

(617) 564-1499

NPI assigned

Feb 11, 2013

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Annadora Christener Scanlan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 28, 2021 through Jul 28, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Two Chairs, LLC

  • Community/Behavioral Health Agency
  • Natick, MA
  • NPI 1164045654
  NPD Authorized official

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

{
    "created_epoch": "1360540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1174862130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 PORTER RD",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017602430",
            "telephone_number": "617-564-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 BOSTON POST RD",
            "city": "WESTON",
            "state": "MA",
            "postal_code": "024931529",
            "telephone_number": "617-564-1499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Boston Medical Ctr Pl",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021182908",
            "country_code": "US",
            "telephone_number": "617-414-5245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALONEY",
        "first_name": "ANNADORA",
        "middle_name": "S.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "119496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNADORA",
            "last_name": "SCANLAN",
            "middle_name": "CHRISTENER",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexis Jean Lundstrom, RN
• Jacquelyn M Macdonald, BCBA-D, LABA
• Danielle Macdowell, CNS, LDN
• Tammi Jane Magazzu, WHNP
• Jasmine Celeste Magdaleno, MSN, APRN, FNP-C
• David L Maltz, M.D.
• Joyce Katherine Mancini, F.N.P.
• Margaret Manion, M.D.
• John James Mannion, RPH
• Peggy Claude Mathieu-Martin, NURSE PRACTITIONER

• Clinical Social Worker in Weston, MA
• Providers in Weston, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.