Active NPI
Theresa Melchionna Rhein, LICSW
- Clinical Social Worker
- Mansfield, MA
National Provider Identifier
1295062545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1022088
- Practice address
- 450 Chauncy Street
Mansfield, MA 02048 - Phone
- (508) 320-8620
- Fax
- (508) 339-6902
- NPI assigned
- Nov 6, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 1022088 | MA | Primary |
Addresses
Primary practice location
450 Chauncy Street
Mansfield, MA 02048
Mailing address
11 Old North Trail
Mansfield, MA 02048
Phone (508) 320-8620
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1022088 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257465600000",
"number": "1295062545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 OLD NORTH TRAIL",
"city": "MANSFIELD",
"state": "MA",
"postal_code": "02048",
"telephone_number": "508-320-8620",
"fax_number": "508-339-6902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 CHAUNCY STREET",
"city": "MANSFIELD",
"state": "MA",
"postal_code": "02048",
"telephone_number": "508-320-8620",
"fax_number": "508-339-6902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHEIN",
"first_name": "THERESA",
"middle_name": "MELCHIONNA",
"name_prefix": "Mrs.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-06",
"last_updated": "2009-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1022088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.