Active NPI
Andrea Pelosi Winslow, MSW, LICSW
- Clinical Social Worker
- Arlington, MA
National Provider Identifier
1376601757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1016642
- Practice address
- 63 Scituate St.
Arlington, MA 02476-7712 - Phone
- (781) 539-5472
- Fax
- (617) 391-6119
- NPI assigned
- Dec 5, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 1016642 | MA | Primary |
Addresses
Primary practice location
63 Scituate St.
Arlington, MA 02476-7712
Mailing address
63 Scituate St.
Arlington, MA 02476-7712
Phone (781) 539-5472
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101664 | Other | TUFTS HEALTH PLAN | |
| 350001 | Other | PACIFICARE | |
| P05283 | Other | BLUE CROSS BLUE SHIELD |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050917000261 | MA | Practitioner - Clinical Social Worker | 7012940208 | Practice locations: Arlington, MA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566345600000",
"number": "1376601757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 SCITUATE ST.",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024767712",
"telephone_number": "781-539-5472",
"fax_number": "617-391-6119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 SCITUATE ST.",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024767712",
"telephone_number": "781-539-5472",
"fax_number": "617-391-6119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINSLOW",
"first_name": "ANDREA",
"middle_name": "PELOSI",
"name_prefix": "Ms.",
"credential": "MSW, LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2019-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1016642",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "101664",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFICARE",
"identifier": "350001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "P05283",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.