Rebecca Nicole Tanguay, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

120026 Issued in MA

Practice address

122 Buffington St
Swansea, MA 02777-4810

Phone

(774) 704-6681

Fax

(508) 617-8096

NPI assigned

Sep 9, 2011

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

Other identifiers 1

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, 2011

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Lifes a Journey Counseling LLC

  • Clinical Social Worker
  • Swansea, MA
  • NPI 1215539218
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1346522927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 BUFFINGTON ST",
            "city": "SWANSEA",
            "state": "MA",
            "postal_code": "027774810",
            "telephone_number": "774-704-6681",
            "fax_number": "508-617-8096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 BUFFINGTON ST",
            "city": "SWANSEA",
            "state": "MA",
            "postal_code": "027774810",
            "telephone_number": "774-704-6681",
            "fax_number": "508-617-8096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANGUAY",
        "first_name": "REBECCA",
        "middle_name": "NICOLE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-09",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "120026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110140100B",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Swansea Public School
• Swansea Rest Home Inc
• Jeffrey B. Syme, M.D.
• Symmetry Dental & Spa Inc
• Anne Szymanski, LMT
• Megan Elizabeth Tanque
• Linda Susan Tartell, M.D.
• Tiffany Tavares
• Kerry Pimentel Taveira, DNP
• Taylor Barboza LLC

• Clinical Social Worker in Swansea, MA
• Providers in Swansea, 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 May 26, 2021; 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.