Individual provider Active NPI

Normand A Gingras, LICSW

  • Clinical Social Worker
  • Chelmsford, MA
National Provider Identifier
1548208341
Registry record updated May 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
102490 Issued in MA
Practice address
1 Olde North Rd
#104
Chelmsford, MA 01824-1453
Phone
(978) 710-6574
Fax
(978) 319-9598
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2015

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 102490 MA Primary

Addresses

Primary practice location

1 Olde North Rd
#104
Chelmsford, MA 01824-1453

Mailing address

82 Brick Kiln Rd
3-304
Chelmsford, MA 01824-3239
Phone (978) 387-5372

Other identifiers 1

IdentifierTypeStateIssuer
110101793AMedicaidMA

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
I20090203000029 MA Practitioner - Clinical Social Worker 2365499431 Reassigns benefits to 1 organization
Practice locations: Chelmsford, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hri Clinics, Inc.Group PAC ID 8022088483, 104 clinicians

Practice addresses (Care Compare)

21 George St
Lowell, MA 01852-2228
Phone (978) 453-5736

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hri Clinics Inc CurrentSince Feb 1, 2005 Accepting new patients
Hri Clinics, Inc. CurrentSince Feb 1, 2005 Accepting new patients

Locations

14 Fordham Rd
Boston, MA 02134
Phone (617) 783-9676

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432684800000",
    "number": "1548208341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 BRICK KILN RD",
            "address_2": "3-304",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018243239",
            "telephone_number": "978-387-5372",
            "fax_number": "978-319-9598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 OLDE NORTH RD",
            "address_2": "#104",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018241453",
            "telephone_number": "978-710-6574",
            "fax_number": "978-319-9598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINGRAS",
        "first_name": "NORMAND",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2015-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "102490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110101793A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelmsford, MA

Sources for this page

Verify at the official NPI Registry.