Individual provider Active NPI

Camila Ribeiro Morales, LICSW

  • Clinical Social Worker
  • Chelsea, MA
National Provider Identifier
1386071389
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
121497 Issued in MA
Practice address
301 Broadway
Chelsea, MA 02150-2807
Phone
(617) 912-7914
NPI assigned
Oct 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 121497 MA Primary

Addresses

Primary practice location

301 Broadway
Chelsea, MA 02150-2807

Mailing address

1R Newbury St Ste 401
Peabody, MA 01960-3816
Phone (617) 804-2773

Other names 1

  • Camila Duarte Ribeiro Former name

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
I20220610000968 MA Practitioner - Clinical Social Worker 5092193680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1 R Newbury St
Suite 401
Peabody, MA 01960-3816
Phone (617) 804-2773

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
121497MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Embrace Pathways to Wellness LLC CurrentSince Feb 3, 2022 Accepting new patients
Embrace Pathways to Wellness LLC Past Accepting new patients

Locations

389 Main St
Ste 301
Malden, MA 02148
Phone (617) 804-2773

1R Newbury St
Ste 401
Peabody, MA 01960
Phone (617) 804-2773

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1386071389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1R NEWBURY ST STE 401",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019603816",
            "telephone_number": "617-804-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 BROADWAY",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021502807",
            "telephone_number": "617-912-7914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIBEIRO MORALES",
        "first_name": "CAMILA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-04",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "121497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAMILA",
            "last_name": "RIBEIRO",
            "middle_name": "DUARTE",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chelsea, MA

Sources for this page

Verify at the official NPI Registry.