Individual provider Active NPI

Thomas Joseph Healey III, LICSW

  • Clinical Social Worker
  • Swampscott, MA
National Provider Identifier
1174982722
Registry record updated Jul 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
118960 Issued in MA
Practice address
25 Harrison Ave
Swampscott, MA 01907-1450
Phone
(781) 771-8779
NPI assigned
Feb 10, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2016

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 118960 MA Primary

Addresses

Primary practice location

25 Harrison Ave
Swampscott, MA 01907-1450

Mailing address

1180 Beacon St
Ste 3C
Brookline, MA 02446-3806
Phone (617) 202-9222

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
I20051003000317 MA Practitioner - Clinical Social Worker 9537194105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nie Health IncGroup PAC ID 0446698039, 6 clinicians

Practice addresses (Care Compare)

100 Cummings Ctr
Suite 204G
Beverly, MA 01915-6286
Phone (978) 993-1988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
118960MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nie Health Inc CurrentSince Jan 7, 2026 Accepting new patients
VK New England Management LLC PastSince Jun 1, 2016 Accepting new patients

Locations

100 Cummings Ctr
Ste 204G
Beverly, MA 01915
Phone (978) 993-1988

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, 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": "1455062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468368000000",
    "number": "1174982722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 BEACON ST",
            "address_2": "STE 3C",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024463806",
            "telephone_number": "617-202-9222",
            "fax_number": "617-879-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HARRISON AVE",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "019071450",
            "telephone_number": "781-771-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEALEY",
        "first_name": "THOMAS",
        "middle_name": "JOSEPH",
        "name_suffix": "III",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-10",
        "last_updated": "2016-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "118960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swampscott, MA

Sources for this page

Verify at the official NPI Registry.