Individual provider Active NPI

Melissa Amaral O'Meara, LICSW

  • Clinical Social Worker
  • Billerica, MA
National Provider Identifier
1386918019
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
114609 Issued in MA
Practice address
294 Concord Rd
Billerica, MA 01821-3482
Phone
(978) 330-5105
Fax
(978) 608-4102
NPI assigned
Feb 27, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 114609 MA Primary

Addresses

Primary practice location

294 Concord Rd
Billerica, MA 01821-3482

Mailing address

28 Avondale Ave
Billerica, MA 01821-2406

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
I20260609000644 MA Practitioner - Clinical Social Worker 2466923636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Boston University School of Medicine, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Blue Square Counseling and Wellness Center, PLLCGroup PAC ID 2163892399, 4 clinicians

Practice addresses (Care Compare)

294 Concord Rd
Billerica, MA 01821-3482
Phone 9783305105513

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
114609MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Square Counseling and Wellness Center, PLLC Clinical Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1386918019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 AVONDALE AVE",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "018212406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 CONCORD RD",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "018213482",
            "telephone_number": "978-330-5105",
            "fax_number": "978-608-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'MEARA",
        "first_name": "MELISSA",
        "middle_name": "AMARAL",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-27",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "114609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billerica, MA

Sources for this page

Verify at the official NPI Registry.