Nicholas Acquadro
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Woburn, MA
NPI 1346851532 · NPPES record last updated Aug 12, 2020
Key facts
- NPI
- 1346851532
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 9 Forbes Rd
Woburn, MA 01801-2103 - Phone
- (781) 838-6778
- NPI assigned
- Aug 12, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240409004177 | MA | Practitioner - Mental Health Counselor | 1456799485 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Community Care, Inc. | Current |
Accepting new patients |
Locations
270 Bridge St
Ste 301
Dedham, MA 02026
Phone (617) 230-9905
6 Kimball Ln
Lynnfield, MA 01940
Phone (781) 213-4040
6 Kimball Ln
Ste 310
Lynnfield, MA 01940
Phone 7812462010 ext. 2086
190 Lenox St
Norwood, MA 02062
Phone (781) 769-8670
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
9 Forbes Rd
Woburn, MA 01801-2103
Mailing address
9 Forbes Rd
Woburn, MA 01801-2103
Phone (781) 838-6778
Other providers in Woburn, MA
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- Javier Enrique Acevedo-Arus
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- Lashondia Adams
- Joshua Adle
- Danielle Lauren Adler
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All providers in Woburn, MA · Addiction (Substance Use Disorder) Counselor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.