Active NPI
Linda M Contorelli, LICSW
- Clinical Social Worker
- Needham, MA
National Provider Identifier
1699983866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1018393
- Practice address
- 687 Highland Ave
3Rd FL, Suite 16
Needham, MA 02494-2232 - Phone
- (800) 455-8726
- Fax
- (866) 455-8839
- NPI assigned
- May 19, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1018393 | MA | Primary |
Addresses
Primary practice location
687 Highland Ave
3Rd FL, Suite 16
Needham, MA 02494-2232
Mailing address
24 Russ St
Methuen, MA 01844-5952
Phone (978) 794-1619
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1890409 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Feb 1, 2017 through Feb 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1018393 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling and Psychotherapy Center of Greater Boston, Inc. | Past | Accepting new patients |
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.
-
dba The Counseling & Psychotherapy Center, Inc
- Community/Behavioral Health Agency
- Needham, MA
- NPI 1861611592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699983866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 RUSS ST",
"city": "METHUEN",
"state": "MA",
"postal_code": "018445952",
"telephone_number": "978-794-1619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "687 HIGHLAND AVE",
"address_2": "3RD FL, SUITE 16",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024942232",
"telephone_number": "800-455-8726",
"fax_number": "866-455-8839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONTORELLI",
"first_name": "LINDA",
"middle_name": "M",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1018393",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1890409",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Needham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.