Individual provider Active NPI

Domenica Rizza, L.I.C.S.W

  • Clinical Social Worker
  • Hopkinton, MA
National Provider Identifier
1568024206
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
222741 Issued in MA
Practice address
194 Hayden Rowe St
Hopkinton, MA 01748-2808
Phone
(774) 278-3891
NPI assigned
Jul 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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 222741 MA Primary

Addresses

Primary practice location

194 Hayden Rowe St
Hopkinton, MA 01748-2808

Mailing address

194 Hayden Rowe St
Hopkinton, MA 01748-2808
Phone (774) 278-3891

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
I20200115002166 MA Practitioner - Clinical Social Worker 4981039138 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Minds on the Mend LLCGroup PAC ID 3072903277, 2 clinicians

Practice addresses (Care Compare)

4 Lincoln St
Medway, MA 02053-1623
Phone (401) 237-2325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Minds on the Mend LLC CurrentSince Sep 1, 2021 Accepting new patients

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": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1568024206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 HAYDEN ROWE ST",
            "city": "HOPKINTON",
            "state": "MA",
            "postal_code": "017482808",
            "telephone_number": "774-278-3891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 HAYDEN ROWE ST",
            "city": "HOPKINTON",
            "state": "MA",
            "postal_code": "017482808",
            "telephone_number": "774-278-3891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZZA",
        "first_name": "DOMENICA",
        "credential": "L.I.C.S.W",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "222741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkinton, MA

Sources for this page

Verify at the official NPI Registry.