Julie Dicicco, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

121845 Issued in MA

Practice address

27 Charles St Ste 1
Holliston, MA 01746-2171

Phone

(774) 233-0108

NPI assigned

Oct 28, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Sapphire Counseling LLC

  • Clinical Social Worker
  • Holliston, MA
  • NPI 1881584340
  Medicare reassignment NPD Authorized official
• Vendetti Wellness Group, PC

  • Community/Behavioral Health Agency
  • Framingham, MA
  • NPI 1952836546
  Medicare reassignment

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

{
    "created_epoch": "1382918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1679901755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 CHARLES ST STE 1",
            "city": "HOLLISTON",
            "state": "MA",
            "postal_code": "017462171",
            "telephone_number": "774-233-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 CHARLES ST STE 1",
            "city": "HOLLISTON",
            "state": "MA",
            "postal_code": "017462171",
            "telephone_number": "774-233-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICICCO",
        "first_name": "JULIE",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-28",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "121845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Catherine Denker, PT
• Dental Innovators of Massachusetts
• Emily Desantis
• Paula Jay Desmarais
• Muditha Devamitta Perera
• William Paul Donnelly, LIC. AC.
• Dr. Steven T Perryman OD Inc
• Dwinnells Behavioral Health LLC
• Edmond Massabni PC
• Devonta Rayshaun Edwards, LICSW

• Clinical Social Worker in Holliston, MA
• Providers in Holliston, 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 Dec 10, 2021; 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.

Verify at the official NPI Registry.