Individual provider Active NPI

Lance Michael McElaney, LICSW

  • Clinical Social Worker
  • Hingham, MA
National Provider Identifier
1417069469
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
103282 Issued in MA
Practice address
62 Derby St
Ste 13
Hingham, MA 02043
Phone
(781) 749-4600
Fax
(781) 741-8341
NPI assigned
Aug 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

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 103282 MA Primary

Addresses

Primary practice location

62 Derby St
Ste 13
Hingham, MA 02043

Mailing address

140 Percival Dr
West Barnstable, MA 02668
Phone (508) 362-0281

Other identifiers 4

IdentifierTypeStateIssuer
MEP01585OtherMABCBS
04343088013OtherMAPACIFICARE BEHAVIORAL HEA
4594399OtherMAAETNA
705727OtherMATUFTS HEALTH PLAN

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
I20040818000966 MA Practitioner - Clinical Social Worker 4486627296 Practice locations: W Barnstable, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1025 Main St
W Barnstable, MA 02668-1163
Phone (508) 735-0724

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
103282MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
NFGM LLC 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, 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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417069469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 PERCIVAL DR",
            "city": "WEST BARNSTABLE",
            "state": "MA",
            "postal_code": "02668",
            "telephone_number": "508-362-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 DERBY ST",
            "address_2": "STE 13",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "02043",
            "telephone_number": "781-749-4600",
            "fax_number": "781-741-8341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCELANEY",
        "first_name": "LANCE",
        "middle_name": "MICHAEL",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "103282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "MEP01585",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE BEHAVIORAL HEA",
            "identifier": "04343088013",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4594399",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "705727",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hingham, MA

Sources for this page

Verify at the official NPI Registry.