Joann Marie Fitts, LICSW

Individual provider Active NPI Mental Health Counselor · Upton, MA

NPI 1508035684 · NPPES record last updated Feb 22, 2008

Key facts

NPI
1508035684
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
111985 (MA)
Practice address
206 Milford St
Upton, MA 01568-1309
Phone
(508) 529-7000
NPI assigned
Feb 22, 2008
Sex
Female
Sole proprietor
No

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.

Medicare Care Compare profile

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)

Upton, MA 01568
Phone (508) 603-6141

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20090901000395 MA Practitioner - Clinical Social Worker 9133274897 Practice locations: Upton, MA

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
111985MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Community Care, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 111985 MA Yes

Addresses

Primary practice location

206 Milford St
Upton, MA 01568-1309

Mailing address

206 Milford St
Upton, MA 01568-1309
Phone (508) 529-7000

Other providers in Upton, MA

All providers in Upton, MA · Mental Health Counselor in Massachusetts

Sources for this page

Verify at the official NPI Registry.