Access for Change, LLC
Organization Active NPI Clinical Social Worker · Norwell, MA
NPI 1215563200 · NPPES record last updated Apr 11, 2024
Key facts
- NPI
- 1215563200
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- ACCESS FOR CHANGE, LLC
- Practice address
- 80 Washington St BLDG D
Norwell, MA 02061-1740 - Phone
- (781) 871-2212
- Fax
- (781) 871-2225
- NPI assigned
- Mar 21, 2020
- Organization subpart
- No
Authorized official
- Name
- Ms. Robert Louis Nutt, LICSW
- Title
- Sole Member Ans Manager
- Phone
- (781) 871-2212
Practitioners 14
-
Marisa L Baronas, LICSW
-
Richard Eric Kleiman, SOCIAL WORKER
-
Hailey Leonard, LICSW
-
Brian J Mitchell, LICSW
-
Robert Louis Nutt, MSW
-
Joanne M Struzziery, ED.D
-
Alisa Vollmer Wincze, PH.D.
-
Valerie Wootton-Woolley, LICSW MSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201120000272 | MA | Part B Supplier - Clinic/Group Practice | 0840601902 |
Receives reassigned benefits from 10 practitioners Practice locations: Norwell, MA |
National Provider Directory
Locations
80 Washington St
Ste D28
Norwell, MA 02061
Phone (781) 329-5509
80 Washington St
Bldg D
Norwell, MA 02061
Phone (781) 871-2212
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
80 Washington St BLDG D
Norwell, MA 02061-1740
Mailing address
80 Washington St BLDG D
Norwell, MA 02061-1740
Phone (781) 871-2212
Other providers in Norwell, MA
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- Christina Defusco Abouleish
- Erin T Ackland
- Adam Riccio
- Chelsey Adams
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All providers in Norwell, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.