Individual provider Active NPI

Maria Angela Scippa, LICSW

  • Clinical Social Worker
  • Wakefield, MA
National Provider Identifier
1558899484
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
123265 Issued in MA
Practice address
333 North Ave Ste a
Wakefield, MA 01880-2300
Phone
(857) 256-4388
NPI assigned
May 23, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 123265 MA Primary

Addresses

Primary practice location

333 North Ave Ste a
Wakefield, MA 01880-2300

Mailing address

333 North Ave Ste a
Wakefield, MA 01880-2300
Phone (857) 256-4388

Other identifiers 1

IdentifierTypeStateIssuer
1558899484MedicaidMA

Other names 1

  • Ms. Maria Angela Scippa Professional name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
123265MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Room for Resilience LLC Clinical CurrentSince Jul 3, 2022 Accepting new patients

Locations

333 North Ave
Ste A
Wakefield, MA 01880
Phone (781) 658-9798

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1558899484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 NORTH AVE STE A",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018802300",
            "telephone_number": "857-256-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 NORTH AVE STE A",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018802300",
            "telephone_number": "857-256-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCIPPA",
        "first_name": "MARIA",
        "middle_name": "ANGELA",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-23",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "123265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558899484",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "SCIPPA",
            "middle_name": "ANGELA",
            "prefix": "MS.",
            "credential": "LICSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Wakefield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.