Individual provider Active NPI

Danielle Nicole Wegrzyn, BA

  • Social Worker
  • Beverly, MA
National Provider Identifier
1225288087
Registry record updated Sep 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
104100000X Issued in MA
Practice address
7 Rantoul St
Beverly, MA 01915-4885
Phone
(978) 927-9410
Fax
(978) 927-6141
NPI assigned
Sep 29, 2008
Last updated
Sep 29, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2008

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 104100000X MA Primary

Addresses

Primary practice location

7 Rantoul St
Beverly, MA 01915-4885

Mailing address

7 Rantoul St
Beverly, MA 01915-4885
Phone (978) 927-9410

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
I20240228004670 MA Practitioner - Clinical Social Worker 7517302656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crosspoint Clinical Services IncGroup PAC ID 8921392317, 13 clinicians

Practice addresses (Care Compare)

117 Park Ave
West Springfield, MA 01089-3371
Phone (413) 732-7677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
104100000XMAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Crosspoint Clinical Services, Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

117 Park Ave
Ste 201A
West Springfield, MA 01089
Phone (413) 732-7677

117 Park Ave
Ste 205
West Springfield, MA 01089
Phone (413) 732-7677

Organizations & group practices 1

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": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222646400000",
    "number": "1225288087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 RANTOUL ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019154885",
            "telephone_number": "978-927-9410",
            "fax_number": "978-927-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 RANTOUL ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019154885",
            "telephone_number": "978-927-9410",
            "fax_number": "978-927-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEGRZYN",
        "first_name": "DANIELLE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-29",
        "last_updated": "2008-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "104100000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

Verify at the official NPI Registry.