Individual provider Active NPI

Paige E. Dacier

  • Clinical Social Worker
  • Acton, MA
National Provider Identifier
1295494987
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
224479 Issued in MA
Practice address
282 Central St Ste 2
Acton, MA 01720-4797
Phone
(978) 254-0297
NPI assigned
Dec 10, 2021
Last updated
Aug 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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 224479 MA Primary

Addresses

Primary practice location

282 Central St Ste 2
Acton, MA 01720-4797

Mailing address

80 Apple Blossom Way
Stow, MA 01775-1388
Phone (978) 254-0297

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
I20260618002301 MA Practitioner - Clinical Social Worker 6800368085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

701 Commerce St
Dallas, TX 75202-4586

80 Apple Blossom Way
Stow, MA 01775-1388

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
224479MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Revidas LLC CurrentSince Oct 6, 2024 Accepting new patients

Locations

108 Grove St
Ste LL11
Worcester, MA 01605
Phone (413) 200-8844

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1295494987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 APPLE BLOSSOM WAY",
            "city": "STOW",
            "state": "MA",
            "postal_code": "017751388",
            "telephone_number": "978-254-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 CENTRAL ST STE 2",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017204797",
            "telephone_number": "978-254-0297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DACIER",
        "first_name": "PAIGE",
        "middle_name": "E.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-10",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "224479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acton, MA

Sources for this page

Verify at the official NPI Registry.