Individual provider Active NPI

Maria Stewart Moscaritolo, LICSW

  • Clinical Social Worker
  • Bridgewater, MA
National Provider Identifier
1396753539
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1028272 Issued in MA
Practice address
63 Main St
Bridgewater, MA 02324-1455
Phone
(508) 697-9722
Fax
(508) 279-0094
NPI assigned
Aug 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1028272 MA Primary

Addresses

Primary practice location

63 Main St
Bridgewater, MA 02324-1455

Mailing address

PO Box 650
Cataumet, MA 02534-0650
Phone (508) 563-5763

Other identifiers 2

IdentifierTypeStateIssuer
425698OtherMAHARVARD/PILGRIM
P07321OtherMABLUE CROSS

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
I20050802000501 MA Practitioner - Clinical Social Worker 6608804430 Practice locations: Cataumet, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Cataumet, MA 02534
Phone (508) 697-9722

PO Box
Suite 650
Cataumet, MA 02534-0650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1028272MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgewater Square Chiropractic Inc. PastSince May 11, 1998 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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396753539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650",
            "city": "CATAUMET",
            "state": "MA",
            "postal_code": "025340650",
            "telephone_number": "508-563-5763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 MAIN ST",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "023241455",
            "telephone_number": "508-697-9722",
            "fax_number": "508-279-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSCARITOLO",
        "first_name": "MARIA",
        "middle_name": "STEWART",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1028272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD/PILGRIM",
            "identifier": "425698",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "P07321",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, MA

Sources for this page

Verify at the official NPI Registry.