Individual provider Active NPI

Alexa L Moniz

  • Social Worker
  • Quincy, MA
National Provider Identifier
1205565678
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
225037 Issued in MA
Practice address
1261 Furnace Brook Pkwy Ste 31
Quincy, MA 02169-4787
Phone
(617) 479-4545
NPI assigned
Jun 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 225037 MA Primary

Addresses

Primary practice location

1261 Furnace Brook Pkwy Ste 31
Quincy, MA 02169-4787

Mailing address

16 Swallow St
New Bedford, MA 02745-2238

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
I20220712002661 MA Practitioner - Clinical Social Worker 8729468400 Reassigns benefits to 2 organizations
Practice locations: Acushnet, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Supportive Behavioral Care of Ma LLCGroup PAC ID 8628346731, 103 clinicians
Supportive Behavioral Care of Mass LLCGroup PAC ID 8123530169, 49 clinicians

Practice addresses (Care Compare)

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

75 Brimbal Ave
Beverly, MA 01915-6009
Phone (718) 506-1115

Merit-based Incentive Payment System (MIPS)

Final score
69.09 of 100Reported as group
Quality
73.07
Promoting interoperability
0
Improvement activities
40
Cost
73.89

Merit-based Incentive Payment System (MIPS)

Final score
86.67 of 100Reported as group
Quality
71.18
Improvement activities
40
Cost
75.07

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
225037MAMDSocial Worker

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 CurrentSince Mar 1, 2024 Accepting new patients
Nova Psychiatric Service PastSince Jun 12, 2022 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

100 Amity St
Fall River, MA 02721
Phone (508) 235-3600

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

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

Organizations & group practices 3

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": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1205565678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 SWALLOW ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027452238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 FURNACE BROOK PKWY STE 31",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694787",
            "telephone_number": "617-479-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONIZ",
        "first_name": "ALEXA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "225037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

Verify at the official NPI Registry.