Elizabeth H Paddock, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

114800 Issued in MA

Practice address

65 Mount Pleasant Ave
Gloucester, MA 01930-4329

Phone

(978) 282-8225

Fax

(978) 282-8223

NPI assigned

Apr 26, 2007

Last updated

Feb 24, 2020By the provider in NPPES

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

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, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northeast Behavioral Health Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Beverly, MA
  • NPI 1154302586
  NPD (past)

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1386864189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 MOUNT PLEASANT AVE",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019304329",
            "telephone_number": "617-314-4570",
            "fax_number": "978-282-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 MOUNT PLEASANT AVE",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019304329",
            "telephone_number": "978-282-8225",
            "fax_number": "978-282-8223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADDOCK",
        "first_name": "ELIZABETH",
        "middle_name": "H",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "114800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Ann Olszewski, M.S.
• Lynn D Oreilly, MS,RD,LDN,CDE
• Brian G Orr, MD
• Mileishka J Ortiz
• Jason Owens
• Margaret Meghann Palazola, PTA
• Carol B. Pallazolla
• Mary Alice Lacy Pardee, MSW LICSW
• Tanya Parker, CPNP
• Peter Wayne Parsons, M.S.W./L.I.C.S.W.

• Clinical Social Worker in Gloucester, MA
• Providers in Gloucester, 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 Feb 24, 2020; 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.