Individual provider Active NPI

Terese J Trafas, MSW LICSW

  • Clinical Social Worker
  • Melrose, MA
National Provider Identifier
1700988805
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1022456 Issued in MA
Practice address
1 W Foster St
2ND Floor
Melrose, MA 02176-3847
Phone
(617) 661-2965
Fax
(617) 491-6080
NPI assigned
Sep 1, 2006
Last updated
Apr 25, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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 1022456 MA Primary

Addresses

Primary practice location

1 W Foster St
2ND Floor
Melrose, MA 02176-3847

Mailing address

98 Kinnaird St
Ste B
Cambridge, MA 02139
Phone (617) 661-2965

Other identifiers 3

IdentifierTypeStateIssuer
P06586OtherMABLUE CROSS BLUE SHIELD OF
1852272MedicaidMA
Z44018000OtherMAMAGELLAN

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
I20120530000349 MA Practitioner - Clinical Social Worker 9537322615 Practice locations: Cambridge, MA; Melrose, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 W Foster St
Melrose, MA 02176-3847
Phone (617) 661-2965

1 W Foster St
Suite 2
Melrose, MA 02176-3879

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1022456MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335312000000",
    "number": "1700988805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 KINNAIRD ST",
            "address_2": "STE B",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "02139",
            "telephone_number": "617-661-2965",
            "fax_number": "617-491-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W FOSTER ST",
            "address_2": "2ND FLOOR",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021763847",
            "telephone_number": "617-661-2965",
            "fax_number": "617-491-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAFAS",
        "first_name": "TERESE",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "MSW LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2012-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1022456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "P06586",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1852272",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "Z44018000",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose, MA

Sources for this page

Verify at the official NPI Registry.