Individual provider Active NPI

Margaret Grace Fasolo, LMSW

  • Clinical Social Worker
  • Newton, MA
National Provider Identifier
1396048823
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
119182 Issued in MA
Practice address
4 Walnut Ter # 2
Newton, MA 02460-1631
Phone
(914) 207-9019
NPI assigned
Dec 5, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 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 081787-1 NY
Clinical Social Worker 1041C0700X 119182 MA Primary

Addresses

Primary practice location

4 Walnut Ter # 2
Newton, MA 02460-1631

Mailing address

4 Walnut Ter # 2
Newton, MA 02460-1631
Phone (914) 207-9019

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
I20151209002370 MA Practitioner - Clinical Social Worker 3072814441 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
119182MAMDClinical Social Worker
081787-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Third Space Therapy PLLC CurrentSince Jan 8, 2026 Accepting new patients
New York State Health Medical PC Past Accepting new patients

Locations

100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389

169 Madison Ave
Ste 11299
New York, NY 10016
Phone (833) 244-4878

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": "1291507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1396048823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WALNUT TER # 2",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024601631",
            "telephone_number": "914-207-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WALNUT TER # 2",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024601631",
            "telephone_number": "914-207-9019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASOLO",
        "first_name": "MARGARET",
        "middle_name": "GRACE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-05",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "081787-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "119182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

Verify at the official NPI Registry.