Individual provider Active NPI

Michelle Ruprecht, LICSW

  • Clinical Social Worker
  • Hanover, MA
National Provider Identifier
1669585741
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
113117 Issued in MA
Practice address
720 Washington St
Ste 104
Hanover, MA 02339-2472
Phone
(781) 826-3601
NPI assigned
Aug 16, 2006
Last updated
Apr 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

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 113117 MA Primary

Addresses

Primary practice location

720 Washington St
Ste 104
Hanover, MA 02339-2472

Mailing address

720 Washington St
Ste 104
Hanover, MA 02339-2472
Phone (781) 826-3601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 10, 2024 through Dec 10, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Theraspire Collective, LLC Clinical Current Accepting new patients
Ampersand LLC CurrentSince Mar 6, 2022 Accepting new patients
The Aspire Group LLC Clinical Past Accepting new patients

Locations

720 Washington St
Ste 104
Hanover, MA 02339
Phone (781) 826-3601

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1669585741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 WASHINGTON ST",
            "address_2": "STE 104",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023392472",
            "telephone_number": "781-826-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 WASHINGTON ST",
            "address_2": "STE 104",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023392472",
            "telephone_number": "781-826-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPRECHT",
        "first_name": "MICHELLE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, MA

Sources for this page

Verify at the official NPI Registry.