Individual provider Active NPI

Andrea Schroll, LICSW

  • Clinical Social Worker
  • Wakefield, MA
National Provider Identifier
1447497771
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
215513 Issued in MA
Practice address
591 North Ave
Wakefield, MA 01880-1647
Phone
(781) 953-0935
NPI assigned
Jan 8, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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 215513 MA Primary

Addresses

Primary practice location

591 North Ave
Wakefield, MA 01880-1647

Mailing address

591 North Ave
Wakefield, MA 01880-1647

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
I20231106000180 MA Practitioner - Clinical Social Worker 8022465517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tmin Services IncGroup PAC ID 0840657862, 42 clinicians

Practice addresses (Care Compare)

800 District Ave
Suite 520
Burlington, MA 01803-5060
Phone (781) 338-7350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
215513MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tmin Services, Inc. CurrentSince Sep 24, 2023 Accepting new patients

Locations

800 District Ave
Ste 520
Burlington, MA 01803
Phone (781) 338-7350

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": "1231372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430265600000",
    "number": "1447497771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 NORTH AVE",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018801647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 NORTH AVE",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018801647",
            "telephone_number": "781-953-0935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROLL",
        "first_name": "ANDREA",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-08",
        "last_updated": "2015-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "215513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, MA

Sources for this page

Verify at the official NPI Registry.