Individual provider Active NPI

Steven Zessis, LICSW

  • Clinical Social Worker
  • Lowell, MA
National Provider Identifier
1255612503
Registry record updated Aug 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
111800 Issued in MA
Practice address
126 Phoenix Ave
3Rd Floor
Lowell, MA 01852-4931
Phone
(978) 513-2393
NPI assigned
Aug 31, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 111800 MA Primary

Addresses

Primary practice location

126 Phoenix Ave
3Rd Floor
Lowell, MA 01852-4931

Mailing address

35 Sherwood Rd
Reading, MA 01867-3744
Phone (781) 944-1375

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
I20210114001430 MA Practitioner - Clinical Social Worker 4587949342 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Behavioral Care New England LLCGroup PAC ID 2860836715, 26 clinicians

Practice addresses (Care Compare)

431 Johnson St
North Andover, MA 01845-4721
Phone (978) 296-5595

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Behavioral Care New England LLC Clinical CurrentSince Jan 27, 2025 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Jan 28, 2024 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. Clinical CurrentSince Jan 28, 2024 Accepting new patients

Locations

40 Shattuck Rd
Ste 250
Andover, MA 01810
Phone (603) 505-6847

152 Sylvan St
Fl 2A
Danvers, MA 01923
Phone (603) 472-2846

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": "1314748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314748800000",
    "number": "1255612503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 SHERWOOD RD",
            "city": "READING",
            "state": "MA",
            "postal_code": "018673744",
            "telephone_number": "781-944-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 PHOENIX AVE",
            "address_2": "3RD FLOOR",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018524931",
            "telephone_number": "978-513-2393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZESSIS",
        "first_name": "STEVEN",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-31",
        "last_updated": "2011-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "111800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

Verify at the official NPI Registry.