Individual provider Active NPI

Michelle Dafna Parsons, MSW, LICSW

  • Clinical Social Worker
  • Chestnut Hill, MA
National Provider Identifier
1275153769
Registry record updated Apr 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
121789 Issued in MA
Practice address
358 Russett Rd
Chestnut Hill, MA 02467-3646
Phone
(617) 529-0047
NPI assigned
Apr 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2020

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 121789 MA Primary

Addresses

Primary practice location

358 Russett Rd
Chestnut Hill, MA 02467-3646

Mailing address

358 Russett Rd
Chestnut Hill, MA 02467-3646
Phone (617) 529-0047

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
I20201112001252 MA Practitioner - Clinical Social Worker 3375953854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neuropsychological Assessment Clinic IncGroup PAC ID 2466735147, 5 clinicians

Practice addresses (Care Compare)

77 Warren St
Brighton, MA 02135-3601
Phone (617) 383-7804

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
121789MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Neuropsychological Assessment Clinic Inc CurrentSince Aug 1, 2020 Accepting new patients

Locations

77 Warren St
Brighton, MA 02135
Phone (617) 254-1271

77 Warren St
Bldg 1
Brighton, MA 02135
Phone (617) 383-7804

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587686400000",
    "number": "1275153769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 RUSSETT RD",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024673646",
            "telephone_number": "617-529-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 RUSSETT RD",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024673646",
            "telephone_number": "617-529-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARSONS",
        "first_name": "MICHELLE",
        "middle_name": "DAFNA",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-24",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "121789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestnut Hill, MA

Sources for this page

Verify at the official NPI Registry.