Active NPI
Nancy Jane Trevino, M.S.W.
- Mental Health Counselor
- South Easton, MA
National Provider Identifier
1649337387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- SW107726
- Practice address
- 604 Foundry Street
South Easton, MA 02375 - Phone
- (508) 838-0754
- NPI assigned
- Jan 2, 2007
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | SW107726 | MA | Primary |
Addresses
Primary practice location
604 Foundry Street
South Easton, MA 02375
Mailing address
143 Burt Street
Unit 1
Norton, MA 02766-2524
Phone (508) 838-0754
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1857631 | Medicaid | MA |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031112000449 | MA | Practitioner - Clinical Social Worker | 3072426204 | Practice locations: Norton, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
Norton, MA 02766
Phone (508) 838-0754
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW107726 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598400000000",
"number": "1649337387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "143 BURT STREET",
"address_2": "UNIT 1",
"city": "NORTON",
"state": "MA",
"postal_code": "027662524",
"telephone_number": "508-838-0754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 FOUNDRY STREET",
"city": "SOUTH EASTON",
"state": "MA",
"postal_code": "02375",
"telephone_number": "508-838-0754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREVINO",
"first_name": "NANCY",
"middle_name": "JANE",
"name_prefix": "Ms.",
"credential": "M.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2020-08-26",
"certification_date": "2020-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "SW107726",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1857631",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in South Easton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.