NPIMap

Organization Active NPI

Access for Change, LLC

  • Clinical Social Worker
  • Norwell, MA
National Provider Identifier
1215563200
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 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
Last updated
Apr 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Authorized official

Name
Ms. Robert Louis Nutt, LICSWNPI 1720078785
Title
Sole Member Ans Manager
Phone
(781) 871-2212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201120000272 MA Part B Supplier - Clinic/Group Practice 0840601902 Receives reassigned benefits from 10 practitioners
Practice locations: Norwell, MA

National Provider Directory

National Provider Directory

Locations

80 Washington St
Bldg D
Norwell, MA 02061
Phone (781) 871-2212

80 Washington St
Ste D28
Norwell, MA 02061
Phone (781) 329-5509

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1584748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1215563200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 WASHINGTON ST BLDG D",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611740",
            "telephone_number": "781-871-2212",
            "fax_number": "781-871-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 WASHINGTON ST BLDG D",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611740",
            "telephone_number": "781-871-2212",
            "fax_number": "781-871-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS FOR CHANGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-21",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "NUTT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "SOLE MEMBER ANS MANAGER",
        "authorized_official_telephone_number": "781-871-2212",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.