Individual provider Active NPI

Maurice Joseph Maher Cheffro, LICSW

  • Clinical Social Worker
  • Wakefield, MA
National Provider Identifier
1487710059
Registry record updated Jun 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
114914 Issued in MA
Practice address
1 W Water St Ste 201
Wakefield, MA 01880-2930
Phone
(781) 365-8121
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2023

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 114914 MA Primary

Addresses

Primary practice location

1 W Water St Ste 201
Wakefield, MA 01880-2930

Mailing address

1 W Water St Ste 201
Wakefield, MA 01880-2930
Phone (781) 365-8121

Other practice location 1

178 Savin St Ste 2
Malden, MA 02148-2329
Phone (781) 338-7287

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
I20090225000624 MA Practitioner - Clinical Social Worker 6103982244 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hallmark Health Medical Associates IncGroup PAC ID 4385638782, 151 clinicians

Practice addresses (Care Compare)

425 Revere St
Revere, MA 02151-4543
Phone (781) 665-6606

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
114914MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hallmark Health Medical Associates Inc CurrentSince Jan 29, 2019 Accepting new patients
Hallmark Health System Inc Clinical CurrentSince Nov 20, 2008 Accepting new patients
Melrosewakefield Healthcare, Inc. Current Accepting new patients
Melrosewakefield Healthcare, Inc. CurrentSince Nov 20, 2008 Accepting new patients

Locations

178 Savin St
Ste 2
Malden, MA 02148
Phone 7813387250 ext. 7262

170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000

585 Lebanon St
Melrose, MA 02176
Phone (781) 979-3026

425 Revere St
Revere, MA 02151
Phone (781) 286-1313

Organizations & group practices 4

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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687564800000",
    "number": "1487710059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W WATER ST STE 201",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018802930",
            "telephone_number": "781-365-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W WATER ST STE 201",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018802930",
            "telephone_number": "781-365-8121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "178 Savin St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Malden",
            "state": "MA",
            "postal_code": "021482329",
            "country_code": "US",
            "telephone_number": "781-338-7287",
            "fax_number": "781-338-7245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHER CHEFFRO",
        "first_name": "MAURICE",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2023-06-24",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "114914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, MA

Sources for this page

Verify at the official NPI Registry.