Individual provider Active NPI

Rebecca Ciesco, LICSW

  • Social Worker
  • Groton, MA
National Provider Identifier
1386284446
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
314989 Issued in MA
Practice address
66 Boston Rd
Groton, MA 01450-1862
Phone
(617) 299-1297
NPI assigned
Jan 7, 2020
Last updated
Jan 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 314989 MA Primary
Clinical Social Worker 1041C0700X NU

Addresses

Primary practice location

66 Boston Rd
Groton, MA 01450-1862

Mailing address

49 Ruthellen Rd
Chelmsford, MA 01824-4022
Phone (978) 866-6627

Other practice location 1

73 E Merrimack St
Lowell, MA 01852-1206
Phone (978) 221-6923

Other practice location 2

70 James St Ste 270
Worcester, MA 01603-1039
Phone (508) 552-7401

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rebecca_fipphen@waysideyouth.org

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
I20260223000843 MA Practitioner - Clinical Social Worker 0840771473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Breese Community Services LLCGroup PAC ID 6002259983, 2 clinicians

Practice addresses (Care Compare)

66 Boston Rd
Groton, MA 01450-1862
Phone (978) 660-4064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
314989MAMDSocial Worker
128454MAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Breese Community Services LLC Clinical CurrentSince Feb 10, 2026 Accepting new patients

Locations

66 Boston Rd
Groton, MA 01450
Phone (617) 299-1297

Organizations & group practices 1

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": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1386284446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 RUTHELLEN RD",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018244022",
            "telephone_number": "978-866-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 BOSTON RD",
            "city": "GROTON",
            "state": "MA",
            "postal_code": "014501862",
            "telephone_number": "617-299-1297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "73 E Merrimack St",
            "address_purpose": "LOCATION",
            "city": "Lowell",
            "state": "MA",
            "postal_code": "018521206",
            "country_code": "US",
            "telephone_number": "978-221-6923",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "70 James St Ste 270",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016031039",
            "country_code": "US",
            "telephone_number": "508-552-7401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CIESCO",
        "first_name": "REBECCA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-07",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "314989",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rebecca_fipphen@waysideyouth.org",
            "affiliation": "N",
            "address_1": "73 E Merrimack St",
            "city": "Lowell",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018521206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Groton, MA

Sources for this page

Verify at the official NPI Registry.