Active NPI
Winston Trefry, LICSW
- Clinical Social Worker
- Wilmington, MA
National Provider Identifier
1265478200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 111599
- Practice address
- 5 Middlesex Ave
Ste 11, Wilmington Family Counseling Service Inc
Wilmington, MA 01887 - Phone
- (978) 658-9889
- Fax
- (978) 658-5695
- NPI assigned
- Jun 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 111599 | MA | Primary |
Addresses
Primary practice location
5 Middlesex Ave
Ste 11, Wilmington Family Counseling Service Inc
Wilmington, MA 01887
Mailing address
587 Essex Street
Beverly, MA 01915
Phone (978) 232-9223
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051209000075 | MA | Practitioner - Clinical Social Worker | 0547281248 | Practice locations: Manchester by the Sea, MA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111599 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Hospital Corporation | Past | Accepting new patients | |
| Northeast Behavioral Health Corporation | Past | Accepting new patients | |
| Wilmington Family Counseling Service Inc | Past | Accepting new patients |
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Beverly, MA
- NPI 1154302586
-
- Psychiatric Hospital Unit
- Beverly, MA
- NPI 1407827710
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wilmington, MA
- NPI 1922043447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265478200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "587 ESSEX STREET",
"city": "BEVERLY",
"state": "MA",
"postal_code": "01915",
"telephone_number": "978-232-9223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 MIDDLESEX AVE",
"address_2": "STE 11, WILMINGTON FAMILY COUNSELING SERVICE INC",
"city": "WILMINGTON",
"state": "MA",
"postal_code": "01887",
"telephone_number": "978-658-9889",
"fax_number": "978-658-5695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREFRY",
"first_name": "WINSTON",
"name_prefix": "Mr.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "111599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.