Individual provider Active NPI

Cheryl Ann Azza, LICSW

  • Clinical Social Worker
  • Methuen, MA
National Provider Identifier
1689722035
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
110639 Issued in MA
Practice address
37 Arlington St
Methuen, MA 01844-4963
Phone
(978) 794-8400
NPI assigned
Jan 8, 2007
Last updated
Jan 21, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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 110639 MA Primary

Addresses

Primary practice location

37 Arlington St
Methuen, MA 01844-4963

Mailing address

37 Arlington St
Methuen, MA 01844-4963
Phone (978) 794-8400

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
I20160912000821 MA Practitioner - Clinical Social Worker 4688960073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
May accept Medicare assignment
Group practices
Counseling Associates of Ma and NH, LLCGroup PAC ID 2668771700, 10 clinicians

Practice addresses (Care Compare)

184 Pleasant St
Suite 206
Methuen, MA 01844-7100
Phone 9786830133101

184 Pleasant Valley St
Suite 206
Methuen, MA 01844-5817

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Associates of Ma & NH, LLC Clinical CurrentSince Aug 8, 2016 Accepting new patients

Locations

14 Loon Hill Rd
Ste 6
Dracut, MA 01826
Phone 97893494441

184 Pleasant Valley St
Bldg 1
Methuen, MA 01844

184 Pleasant Valley St
Ste 1-206
Methuen, MA 01844
Phone (978) 683-0133

Organizations & group practices 1

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421798400000",
    "number": "1689722035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 ARLINGTON ST",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018444963",
            "telephone_number": "978-794-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 ARLINGTON ST",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018444963",
            "telephone_number": "978-794-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZZA",
        "first_name": "CHERYL",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2015-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "110639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Methuen, MA

Sources for this page

Verify at the official NPI Registry.