Individual provider Active NPI

Allie M Dicostanzo

  • Clinical Social Worker
  • Framingham, MA
National Provider Identifier
1669045738
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LICSW1141111 Issued in MA
Practice address
61 Lincoln St Ste 203
Framingham, MA 01702-8264
Phone
(781) 666-2711
Fax
(781) 666-2712
NPI assigned
Jul 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW02614 RI
Clinical Social Worker 1041C0700X ISW04106
Clinical Social Worker 1041C0700X LICSW1141111 MA Primary

Addresses

Primary practice location

61 Lincoln St Ste 203
Framingham, MA 01702-8264

Mailing address

72 Farnum Pike
Smithfield, RI 02917-3224
Phone (508) 500-6168

Other practice location 1

386 Stanley St
Fall River, MA 02720-6009
Phone (508) 679-5222

Other practice location 2

63 Eddie Dowling Hwy Ste 9
North Smithfield, RI 02896-7322
Phone (781) 666-2711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210922000886 RI Practitioner - Clinical Social Worker 5799182549 Reassigns benefits to 1 organization
I20250603003531 MA Practitioner - Clinical Social Worker 5799182549 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
Telehealth
Offers telehealth services
Group practices
Spectrum Neuro Behavioral Care LLCGroup PAC ID 2860721362, 57 clinicians

Practice addresses (Care Compare)

61 Lincoln St
Framingham, MA 01702-8264
Phone (781) 666-2711

63 Eddie Dowling Hwy
North Smithfield, RI 02896-7322
Phone (781) 666-2711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LICSW1141111MAMDClinical Social Worker
CSW02614RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Psychotherapy, LLC CurrentSince Oct 13, 2024 Accepting new patients
Spectrum Neuro Behavioral Care LLC CurrentSince Sep 1, 2021 Accepting new patients

Locations

61 Lincoln St
Ste 203
Framingham, MA 01702
Phone (508) 500-6166

100 New State Hwy
Raynham, MA 02767
Phone (781) 666-2711

63 Park Sq
Ste 8
North Smithfield, RI 02896
Phone (401) 414-3485

63 Eddie Dowling Hwy
Ste 9
North Smithfield, RI 02896
Phone (401) 414-3485

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": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1669045738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 FARNUM PIKE",
            "city": "SMITHFIELD",
            "state": "RI",
            "postal_code": "029173224",
            "telephone_number": "508-500-6168",
            "fax_number": "781-666-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 LINCOLN ST STE 203",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017028264",
            "telephone_number": "781-666-2711",
            "fax_number": "781-666-2712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "386 Stanley St",
            "address_purpose": "LOCATION",
            "city": "Fall River",
            "state": "MA",
            "postal_code": "027206009",
            "country_code": "US",
            "telephone_number": "508-679-5222",
            "fax_number": "508-673-3182",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "63 Eddie Dowling Hwy Ste 9",
            "address_purpose": "LOCATION",
            "city": "North Smithfield",
            "state": "RI",
            "postal_code": "028967322",
            "country_code": "US",
            "telephone_number": "781-666-2711",
            "fax_number": "781-666-2712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICOSTANZO",
        "first_name": "ALLIE",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "CSW02614",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "ISW04106",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW1141111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

Verify at the official NPI Registry.