Individual provider Active NPI

Cheryl Eppel, L.I.C.S.W.

  • Clinical Social Worker
  • Yarmouth Port, MA
National Provider Identifier
1538227459
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
106772 Issued in MA
Practice address
21 Minden LN
Yarmouth Port, MA 02675-1721
Phone
(617) 957-2174
NPI assigned
Dec 4, 2006
Last updated
Jun 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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 106772 MA Primary

Addresses

Primary practice location

21 Minden LN
Yarmouth Port, MA 02675-1721

Mailing address

21 Minden LN
Yarmouth Port, MA 02675-1721
Phone (617) 957-2174

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
I20100701000128 MA Practitioner - Clinical Social Worker 6406987726 Practice locations: Yarmouth Port, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Yarmouth Port, MA 02675
Phone (617) 957-2174

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
106772MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pauline Gerson Clinical Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1538227459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 MINDEN LN",
            "city": "YARMOUTH PORT",
            "state": "MA",
            "postal_code": "026751721",
            "telephone_number": "617-957-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MINDEN LN",
            "city": "YARMOUTH PORT",
            "state": "MA",
            "postal_code": "026751721",
            "telephone_number": "617-957-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPPEL",
        "first_name": "CHERYL",
        "name_prefix": "Ms.",
        "credential": "L.I.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "106772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yarmouth Port, MA

Sources for this page

Verify at the official NPI Registry.