Ann Marie Sigdestad, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

103615 Issued in MA

Practice address

79 Old Stage Rd
Chelmsford, MA 01824-4623

Phone

(978) 256-9958

Fax

(978) 256-8230

NPI assigned

May 14, 2007

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 2

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

Specialty

Clinical Social Worker

Education

Other, 1969

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Lawrence Newman MD & Penelope Hall MD

  • Internal Medicine Physician
  • Billerica, MA
  • NPI 1477522852
  NPD (past)
• Massachusetts Eye Associates PC

  • Eyewear Supplier
  • Chelmsford, MA
  • NPI 1295930949
  NPD (past)

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487869301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 OLD STAGE RD",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018244623",
            "telephone_number": "978-256-9958",
            "fax_number": "978-256-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 OLD STAGE RD",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018244623",
            "telephone_number": "978-256-9958",
            "fax_number": "978-256-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIGDESTAD",
        "first_name": "ANN MARIE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "103615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "713983",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "SIPO1410",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeff Shu, D.M.D.
• Daniel Shulman, BCBA
• Bryan G Shultz, LCSW
• Beshoy Ramses Sidhom, MD
• Karen W Siegel, MSW LICSW
• Francheyska Silfa Mazara, M.D.
• Alexa Silva
• Luella Simakauskas, OTR/L
• Andrew David Simkin, M.D.
• Cedrick Simon

• All providers in Chelmsford, MA
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.