Mary Grochmal Hadala, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1025678 Issued in MA

Practice address

1 Welby Rd
New Bedford, MA 02745-1137

Phone

(508) 264-0764

NPI assigned

Dec 23, 2006

Last updated

May 20, 2008By 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

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jarvis Family Services Inc

  • Clinical Social Worker
  • Fall River, MA
  • NPI 1487081691
  Medicare reassignment NPD
• High Point Treatment Center Inc.

  • Counselor
  • New Bedford, MA
  • NPI 1518996354
  NPD (past)
• Retina Consultants Inc

  • Retina Specialist (Ophthalmology) Physician
  • Providence, RI
  • NPI 1780765354
  NPD (past)

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

{
    "created_epoch": "1166832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1427113190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WELBY RD",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027451137",
            "telephone_number": "508-264-0764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WELBY RD",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027451137",
            "telephone_number": "508-264-0764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADALA",
        "first_name": "MARY",
        "middle_name": "GROCHMAL",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-23",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1025678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1854569",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luz Milagro Gutierrez
• Natalia Gutierrez
• Jennifer Guy, LICSW
• Jean Marie Guzman
• Dani Hackner, M.D.
• Heather Haines, RD, LDN
• Thomas Joseph Haitsma
• Brooke Hall, LCSW
• Caroline Christine Hall, P.T.
• Jason C Hall

• Clinical Social Worker in New Bedford, MA
• Providers in New Bedford, 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 May 20, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.