Individual provider Active NPI

Robert C. Anzola, MSW, LICSW

  • Clinical Social Worker
  • Plymouth, MA
National Provider Identifier
1326181595
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1024996 Issued in MA
Practice address
40 Industrial Park Rd
D.M.H.
Plymouth, MA 02360-4884
Phone
(508) 732-3000
Fax
(508) 746-3224
NPI assigned
Feb 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1024996 MA Primary

Addresses

Primary practice location

40 Industrial Park Rd
D.M.H.
Plymouth, MA 02360-4884

Mailing address

980 Main St
Unit B
Osterville, MA 02655-2045
Phone (508) 732-3000

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
I20051022000132 MA Practitioner - Clinical Social Worker 5890711469 Reassigns benefits to 1 organization
Practice locations: Centerville, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gosnold, Inc.Group PAC ID 5991776627, 13 clinicians

Practice addresses (Care Compare)

1185 Falmouth Rd
Centerville, MA 02632-3066
Phone (508) 540-6550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gosnold, Inc. CurrentSince Oct 10, 2025 Accepting new patients
The Commonwealth of Massachusetts Past Accepting new patients
Mashpee Mental Health Center, Inc. Past Accepting new patients

Locations

1185 Falmouth Rd
Centerville, MA 02632
Phone (508) 862-9929

196 Ter Heun Dr
Falmouth, MA 02540
Phone (508) 548-7118

200 Ter Heun Dr
Falmouth, MA 02540
Phone (508) 563-2262

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, 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": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326181595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 MAIN ST",
            "address_2": "UNIT B",
            "city": "OSTERVILLE",
            "state": "MA",
            "postal_code": "026552045",
            "telephone_number": "508-732-3000",
            "fax_number": "508-746-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 INDUSTRIAL PARK RD",
            "address_2": "D.M.H.",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604884",
            "telephone_number": "508-732-3000",
            "fax_number": "508-746-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANZOLA",
        "first_name": "ROBERT",
        "middle_name": "C.",
        "name_prefix": "Mr.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1024996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

Verify at the official NPI Registry.