Individual provider Active NPI

Ellen M. Barresi, MSW, LICSW

  • Clinical Social Worker
  • Plymouth, MA
National Provider Identifier
1508844705
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
101025 Issued in MA
Practice address
362 Court St
Plymouth, MA 02360-4397
Phone
(508) 747-2910
Fax
(775) 459-1817
NPI assigned
Jan 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 101025 MA Primary

Addresses

Primary practice location

362 Court St
Plymouth, MA 02360-4397

Mailing address

362 Court St
Plymouth, MA 02360-4397
Phone (508) 747-2910

Other identifiers 1

IdentifierTypeStateIssuer
P05113OtherMABCBSMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101025MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1508844705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 COURT ST",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604397",
            "telephone_number": "508-747-2910",
            "fax_number": "775-459-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 COURT ST",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604397",
            "telephone_number": "508-747-2910",
            "fax_number": "775-459-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRESI",
        "first_name": "ELLEN",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "101025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMA",
            "identifier": "P05113",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.