Individual provider Active NPI

Justine McGuirk Lambroschino, LICSW

  • Clinical Social Worker
  • Falmouth, MA
National Provider Identifier
1265422117
Registry record updated Aug 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
111885 Issued in MA
Practice address
51 Gifford St
Falmouth, MA 02540-3304
Phone
(508) 317-5243
NPI assigned
Oct 24, 2005
Last updated
Aug 30, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2017

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 111885 MA Primary

Addresses

Primary practice location

51 Gifford St
Falmouth, MA 02540-3304

Mailing address

51 Gifford St
Falmouth, MA 02540-3360
Phone (508) 317-5243

Other identifiers 7

IdentifierTypeStateIssuer
550010006939OtherMAPACIFICARE/HARVARDPILGRIM
0007368924OtherMAAETNA
1137020OtherMABEACON
P08408OtherMABLUE CROSS
1137020OtherMANHP
1859544MedicaidMA
002734133OtherMAOPTUM/UBH

Other names 1

  • Justine Lambroschino Professional name

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
I20040902001146 MA Practitioner - Clinical Social Worker 9436125234 Practice locations: Falmouth, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

51 Gifford St
Falmouth, MA 02540-3360
Phone (508) 317-5243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
111885MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504051200000",
    "number": "1265422117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 GIFFORD ST",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025403360",
            "telephone_number": "508-317-5243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 GIFFORD ST",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025403304",
            "telephone_number": "508-317-5243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMBROSCHINO",
        "first_name": "JUSTINE",
        "middle_name": "MCGUIRK",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-24",
        "last_updated": "2017-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "111885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE/HARVARDPILGRIM",
            "identifier": "550010006939",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0007368924",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON",
            "identifier": "1137020",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "P08408",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP",
            "identifier": "1137020",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1859544",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTUM/UBH",
            "identifier": "002734133",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUSTINE",
            "last_name": "LAMBROSCHINO",
            "credential": "LICSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Falmouth, MA

Sources for this page

Verify at the official NPI Registry.