Individual provider Active NPI

Barbara S. Ellis, LICSW

  • Clinical Social Worker
  • Marshfield, MA
National Provider Identifier
1467589820
Registry record updated Feb 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
113395 Issued in MA
Practice address
769 Plain St
Unit I
Marshfield, MA 02050-2118
Phone
(781) 834-7433
Fax
(781) 834-7458
NPI assigned
Feb 27, 2007
Last updated
Feb 19, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2013

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 113395 MA Primary

Addresses

Primary practice location

769 Plain St
Unit I
Marshfield, MA 02050-2118

Mailing address

769 Plain St
Unit I
Marshfield, MA 02050-2118
Phone (781) 834-7433

Other names 1

  • Barbara S. Ellis Professional name

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
I20130307000306 MA Practitioner - Clinical Social Worker 2961657440 Reassigns benefits to 1 organization
Practice locations: Hanover, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

51 Mill St
Suite 8
Hanover, MA 02339-1651
Phone (617) 974-6073

90 Rockland St
Suite 1
Hanover, MA 02339-2235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
113395MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Mental Health Center, Inc. CurrentSince Dec 16, 2012 Accepting new patients
North River Counseling, Inc. Past Accepting new patients

Locations

1501 Washington St
Braintree, MA 02184
Phone (617) 745-2709

769 Plain St
Ste I
Marshfield, MA 02050
Phone (781) 834-7433

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, 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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361232000000",
    "number": "1467589820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "769 PLAIN ST",
            "address_2": "UNIT I",
            "city": "MARSHFIELD",
            "state": "MA",
            "postal_code": "020502118",
            "telephone_number": "781-834-7433",
            "fax_number": "781-834-7458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "769 PLAIN ST",
            "address_2": "UNIT I",
            "city": "MARSHFIELD",
            "state": "MA",
            "postal_code": "020502118",
            "telephone_number": "781-834-7433",
            "fax_number": "781-834-7458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "BARBARA",
        "middle_name": "S.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2013-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "ELLIS",
            "middle_name": "S.",
            "credential": "LICSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Marshfield, MA

Sources for this page

Verify at the official NPI Registry.