Individual provider Active NPI

Emily Magnifico, MSW, LCSW

  • Clinical Social Worker
  • Worthington, MA
National Provider Identifier
1588335053
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
58 Old North Rd
Worthington, MA 01098-9708
Phone
(413) 667-3009
NPI assigned
Sep 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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 MA Primary

Addresses

Primary practice location

58 Old North Rd
Worthington, MA 01098-9708

Mailing address

58 Old North Rd
Worthington, MA 01098-9708

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
I20211213000828 MA Practitioner - Clinical Social Worker 1355731027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

73 Russell Rd
Huntington, MA 01050-9777
Phone (413) 667-3009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hilltown Community Health Centers, Inc. CurrentSince Oct 4, 2021 Accepting new patients
Hilltown Community Health Centers, Inc. CurrentSince Oct 4, 2021 Accepting new patients

Locations

58 Old North Rd
Worthington, MA 01098
Phone (413) 238-5511

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": "1632441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1588335053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 OLD NORTH RD",
            "city": "WORTHINGTON",
            "state": "MA",
            "postal_code": "010989708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 OLD NORTH RD",
            "city": "WORTHINGTON",
            "state": "MA",
            "postal_code": "010989708",
            "telephone_number": "413-667-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGNIFICO",
        "first_name": "EMILY",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-24",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, MA

Sources for this page

Verify at the official NPI Registry.