Individual provider Active NPI

M. Cristina Sorrentino Schmalisch, PHD MSW

  • Clinical Social Worker
  • Cambridge, MA
National Provider Identifier
1568640704
Registry record updated Sep 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
115000 Issued in MA
Practice address
777 Concord Ave
Suite 301
Cambridge, MA 02138-1056
Phone
(617) 899-6841
Fax
(617) 876-9011
NPI assigned
Feb 8, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2009

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 115000 MA Primary

Addresses

Primary practice location

777 Concord Ave
Suite 301
Cambridge, MA 02138-1056

Mailing address

25 Virginia St
Unit 2
Somerville, MA 02145-3910
Phone (617) 899-6841

Other names 1

  • Dr. Cristina M. Sorrentino Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2020 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
115000MAMDClinical Social Worker
73270CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Psychological Services Clinical Past Accepting new patients
Lydian Chiropractic LLC PastSince Aug 5, 2013 Accepting new patients
North Suffolk Community Services Inc. PastSince Mar 3, 2005 Accepting new patients

Organizations & group practices 3

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": "1202428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253750400000",
    "number": "1568640704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 VIRGINIA ST",
            "address_2": "UNIT 2",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021453910",
            "telephone_number": "617-899-6841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 CONCORD AVE",
            "address_2": "SUITE 301",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381056",
            "telephone_number": "617-899-6841",
            "fax_number": "617-876-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMALISCH",
        "first_name": "M. CRISTINA",
        "middle_name": "SORRENTINO",
        "name_prefix": "Dr.",
        "credential": "PHD MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-08",
        "last_updated": "2009-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "115000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRISTINA",
            "last_name": "SORRENTINO",
            "middle_name": "M.",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.