Active NPI
Moe McNeill
- Social Worker
- Jamaica Plain, MA
National Provider Identifier
1568900389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 3313 Washington St
Suite 3
Jamaica Plain, MA 02130-2691 - Phone
- (617) 522-0650
- NPI assigned
- Feb 1, 2017
- Last updated
- May 23, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | NU | Primary |
Addresses
Primary practice location
3313 Washington St
Suite 3
Jamaica Plain, MA 02130-2691
Mailing address
738 Metropolitan Ave
Hyde Park, MA 02136-3108
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
333 Elm St
Dedham, MA 02026-4530
Phone (781) 214-6590
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Health Services, LLC | Current | Accepting new patients |
Locations
333 Elm St
Dedham, MA 02026
Phone (781) 214-6590
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
-
dba Hyland Behavioral Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Taunton, MA
- NPI 1225067481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653264000000",
"number": "1568900389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "738 METROPOLITAN AVE",
"city": "HYDE PARK",
"state": "MA",
"postal_code": "021363108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3313 WASHINGTON ST",
"address_2": "SUITE 3",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "021302691",
"telephone_number": "617-522-0650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNEILL",
"first_name": "MOE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-01",
"last_updated": "2022-05-23",
"certification_date": "2022-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamaica Plain, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.