Individual provider Active NPI

Anne Cole, LICSW

  • Clinical Social Worker
  • Belmont, MA
National Provider Identifier
1508937244
Registry record updated Jun 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
104479 Issued in MA
Practice address
5 Watson Rd
Belmont, MA 02478-3924
Phone
(617) 489-2579
NPI assigned
Nov 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2009

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 104479 MA Primary

Addresses

Primary practice location

5 Watson Rd
Belmont, MA 02478-3924

Mailing address

41 Alma Ave
Belmont, MA 02478-4404

Other identifiers 6

IdentifierTypeStateIssuer
1895575MedicaidMA
P02566OtherMABCBS OF MA
735818OtherMATUFTS HEALTH PLAN
735818OtherMATUFTS LIBERTY
735818OtherMATUFTS BENEFIT ADMINISTRAT
P02566OtherMABCBS FEDERAL

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
I20040810000710 MA Practitioner - Clinical Social Worker 6002888047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Counseling Services IncGroup PAC ID 3870487333, 18 clinicians

Practice addresses (Care Compare)

518 Great Rd
Acton, MA 01720-3415
Phone 9782634878217

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
104479MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Counseling Services Inc CurrentSince May 16, 2011 Accepting new patients
Psychotherapy Associates of North Reading Clinical PastSince Aug 28, 2000 Accepting new patients

Locations

518 Great Rd
Acton, MA 01720
Phone (978) 263-4878

Organizations & group practices 2

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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244592000000",
    "number": "1508937244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 ALMA AVE",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024784404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 WATSON RD",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024783924",
            "telephone_number": "617-489-2579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2009-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "104479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1895575",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MA",
            "identifier": "P02566",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "735818",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS LIBERTY",
            "identifier": "735818",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS BENEFIT ADMINISTRAT",
            "identifier": "735818",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FEDERAL",
            "identifier": "P02566",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, MA

Sources for this page

Verify at the official NPI Registry.