NPIMap

Individual provider Active NPI

Marsha Medalie

  • Social Worker
  • Dedham, MA
National Provider Identifier
1588026843
Registry record updated Mar 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
100728 Issued in MA
Practice address
270 Bridge St
Suite 301
Dedham, MA 02026-1798
Phone
(781) 320-5328
NPI assigned
Mar 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 100728 MA Primary

Addresses

Primary practice location

270 Bridge St
Suite 301
Dedham, MA 02026-1798

Mailing address

270 Bridge St
Suite 301
Dedham, MA 02026-1798
Phone (781) 320-5328

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
100728MAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Community Care Past Accepting new patients
Riverside Community Care, Inc. Past 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": "1458864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458864000000",
    "number": "1588026843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 BRIDGE ST",
            "address_2": "SUITE 301",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020261798",
            "telephone_number": "781-320-5328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 BRIDGE ST",
            "address_2": "SUITE 301",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020261798",
            "telephone_number": "781-320-5328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDALIE",
        "first_name": "MARSHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-25",
        "last_updated": "2016-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "100728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dedham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; 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.