Individual provider Active NPI

Mary E Judd-Pechie, LICSW

  • Clinical Social Worker
  • Webster, MA
National Provider Identifier
1487649117
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
005057 Issued in MA
Practice address
340 Thompson Rd
Webster, MA 01570-1509
Phone
(508) 949-8948
NPI assigned
Sep 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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 005057 MA Primary

Addresses

Primary practice location

340 Thompson Rd
Webster, MA 01570-1509

Mailing address

340 Thompson Rd
Webster, MA 01570-1509
Phone (508) 949-8948

Other practice location 1

258 Main St
Sturbridge, MA 01566-1540
Phone (508) 418-6888

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
I20130613000547 MA Practitioner - Clinical Social Worker 6305085846 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Worcester County Counseling, IncGroup PAC ID 5092235754, 8 clinicians
Massachusetts Psychiatric Services LLCGroup PAC ID 4082983911, 13 clinicians

Practice addresses (Care Compare)

161 W Main St
Dudley, MA 01571-3817
Phone (774) 757-2254

258 Main St
Sturbridge, MA 01566-1540
Phone 5084186888206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005057MAMDClinical Social Worker
005057CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Worcester County Counseling, Inc CurrentSince Nov 25, 2025 Accepting new patients
Massachusetts Psychiatric Services, LLC CurrentSince Jan 1, 2018 Accepting new patients
Umass Memorial Medical Group Inc Current Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Oct 14, 2023 Accepting new patients
Center for Interpersonal Relations Inc Past Accepting new patients

Locations

161 W Main St
Dudley, MA 01571
Phone (508) 943-2944

29 Pine St
Southbridge, MA 01550
Phone (508) 765-2202

100 South St
Southbridge, MA 01550
Phone (508) 764-8012

258 Main St
Sturbridge, MA 01566
Phone (508) 418-6888

340 Thompson Rd
Webster, MA 01570
Phone (508) 943-2600

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

Organizations & group practices 5

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": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1487649117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 THOMPSON RD",
            "city": "WEBSTER",
            "state": "MA",
            "postal_code": "015701509",
            "telephone_number": "508-949-8948",
            "fax_number": "508-764-2462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 THOMPSON RD",
            "city": "WEBSTER",
            "state": "MA",
            "postal_code": "015701509",
            "telephone_number": "508-949-8948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "258 Main St",
            "address_purpose": "LOCATION",
            "city": "Sturbridge",
            "state": "MA",
            "postal_code": "015661540",
            "country_code": "US",
            "telephone_number": "508-418-6888",
            "fax_number": "508-418-6886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUDD-PECHIE",
        "first_name": "MARY",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-19",
        "last_updated": "2024-04-24",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "005057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, MA

Sources for this page

Verify at the official NPI Registry.