Elizabeth Brouillard, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1029321 Issued in MA

Practice address

340 Maple St
Marlborough, MA 01752-3200

Phone

(508) 485-9300

NPI assigned

Nov 29, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Advocates, Inc.Group PAC ID 9830404045, 111 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

66.41 of 100Reported as group

Quality

68

Promoting interoperability

0

Improvement activities

40

Cost

81.11

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.

• Advocates, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Marlborough, MA
  • NPI 1437451382
  Medicare reassignment Care Compare group
• Wayside Youth and Family Support Network

  • Mental Health Counselor
  • Framingham, MA
  • NPI 1851484505
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469750400000",
    "number": "1518034594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 INDIAN DAWN",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017783920",
            "telephone_number": "508-358-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 MAPLE ST",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017523200",
            "telephone_number": "508-485-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUILLARD",
        "first_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2016-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1029321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian T Brochu, M.D.
• Abigail Rose Brockhoft
• Emily Brogan
• Brookhaven Hospice LLC
• Nicole E Brooks
• Adukwei Brown
• Amy Brown
• Brea' Patrice Brown, RBT
• Christopher Micahael Brown
• Daizysha Brown

• Clinical Social Worker in Marlborough, MA
• Providers in Marlborough, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; 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.