Elizabeth Mary Nydam

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

4 Mann St
Worcester, MA 01602-3414

Phone

(774) 314-5830

NPI assigned

Jun 21, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Hri Clinics, Inc.

  • Community/Behavioral Health Agency
  • Woburn, MA
  • NPI 1598707002
  Medicare reassignment NPD
• Hri Clinics Inc

  • Community/Behavioral Health Agency
  • Norwell, MA
  • NPI 1922123199
  NPD

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1235708710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 RICH RD",
            "city": "SUTTON",
            "state": "MA",
            "postal_code": "015901208",
            "telephone_number": "774-437-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MANN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016023414",
            "telephone_number": "774-314-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYDAM",
        "first_name": "ELIZABETH",
        "middle_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Nyambeki Nyakundi, BSN-RN
• Grace Nyamekye
• Jones Johnson Nyansu
• Oumie Hawa Nyassi
• Vanessa Rose Nybo, FNP
• Kate Nye, LICSW
• Francis W Nyepon
• Nyla Laboratories
• Nyla Laboratories
• Melissa Nylander

• Clinical Social Worker in Worcester, MA
• Providers in Worcester, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.