Elizabeth Zaccardi, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

34 Mill St
Pembroke, MA 02359-3201

Phone

(339) 244-0166

NPI assigned

Dec 28, 2007

Sex

Female

Sole proprietor

Yes

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

Specialty

Clinical Social Worker

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• River & Stone, LLC

  • Mental Health Counselor
  • Norwell, MA
  • NPI 1285268490
  Medicare reassignment NPD Authorized official
• Plymouth County Behavioral Health LLC

  • Psychiatry Physician
  • Plymouth, MA
  • NPI 1154457422
  Medicare reassignment NPD

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447977600000",
    "number": "1275717084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 MILL ST",
            "city": "PEMBROKE",
            "state": "MA",
            "postal_code": "023593201",
            "telephone_number": "339-244-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 MILL ST",
            "city": "PEMBROKE",
            "state": "MA",
            "postal_code": "023593201",
            "telephone_number": "339-244-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACCARDI",
        "first_name": "ELIZABETH",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-28",
        "last_updated": "2015-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Michelle Wilson, LICSW
• Rebecca Wolongevicz, MS, OTR/L, CHT
• Nicole A. Wood, MD
• Amy L Young, RN
• Krishyon Young, IBCLC
• Shelby Zacher
• Gina Zarella, M.D.
• Theresa Zeoli
• Yingqi Zhang, NP
• Aisling Zylberman

• Clinical Social Worker in Pembroke, MA
• Providers in Pembroke, 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 Nov 20, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.