Individual provider Active NPI

Victoria Grace, LICSW

  • Clinical Social Worker
  • East Bridgewater, MA
National Provider Identifier
1679891246
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
113830 Issued in MA
Practice address
1 Compass Way Ste 106
East Bridgewater, MA 02333-1466
Phone
(508) 350-2225
Fax
(508) 350-2229
NPI assigned
May 6, 2010
Last updated
Jul 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 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 113830 MA Primary

Addresses

Primary practice location

1 Compass Way Ste 106
East Bridgewater, MA 02333-1466

Mailing address

1 Compass Way Ste 106
East Bridgewater, MA 02333-1466
Phone (508) 350-2225

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
I20110324000612 MA Practitioner - Clinical Social Worker 5991988131 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Dec 9, 2013 Accepting new patients
Victoria Grace Counseling Clinical CurrentSince Jul 24, 2022 Accepting new patients
Compass Medical PC CurrentSince Apr 1, 2022 Accepting new patients
Steward Medical Group, Inc CurrentSince Dec 9, 2013 Accepting new patients
Compass Medical PC CurrentSince Apr 1, 2022 Accepting new patients

Locations

1 Donalds Way
Ste 106
East Bridgewater, MA 02333
Phone (508) 350-2225

1 Donalds Way
Ste 102
East Bridgewtr, MA 02333
Phone (508) 350-2100

362 N Bedford St
East Bridgewtr, MA 02333
Phone (508) 350-2350

8 Commerce Blvd
Middleboro, MA 02346
Phone (774) 260-9300

Organizations & group practices 6

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": "1273104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1679891246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COMPASS WAY STE 106",
            "city": "EAST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023331466",
            "telephone_number": "508-350-2225",
            "fax_number": "508-350-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COMPASS WAY STE 106",
            "city": "EAST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023331466",
            "telephone_number": "508-350-2225",
            "fax_number": "508-350-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACE",
        "first_name": "VICTORIA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-06",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Bridgewater, MA

Sources for this page

Verify at the official NPI Registry.