Ronald Zagaja, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

101975 Issued in MA

Practice address

565 Turnpike St
Suite 81
North Andover, MA 01845-5922

Phone

(978) 682-1579

Fax

(978) 689-4582

NPI assigned

May 31, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Andover Counseling Center

  • Clinical Social Worker
  • North Andover, MA
  • NPI 1114132545
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639370166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 TURNPIKE ST",
            "address_2": "SUITE 81",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455922",
            "telephone_number": "978-682-1579",
            "fax_number": "978-689-4582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 TURNPIKE ST",
            "address_2": "SUITE 81",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455922",
            "telephone_number": "978-682-1579",
            "fax_number": "978-689-4582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAGAJA",
        "first_name": "RONALD",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "101975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "P01159",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edith Yeboah
• Ariel York, M.S.
• Rosemary P Young, RN
• Theresa Marie Yuhas, MSW, LICSW
• Yuliya Mandel M D P C
• Zaheen Medical Center LLC
• Laura McBride Zawalich, M.S., CCC-SLP
• Lily Zhang, DMD
• Wen Zhang, PHARMD
• Ernesto Zilberberg, MD

• Clinical Social Worker in North Andover, MA
• Providers in North Andover, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.