Richard J Cresta, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1029643 Issued in MA

Practice address

150 Orleans St
402
East Boston, MA 02128-2105

Phone

(617) 763-6749

NPI assigned

Feb 26, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710013420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 ORLEANS ST",
            "address_2": "402",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "021282105",
            "telephone_number": "617-763-6749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 ORLEANS ST",
            "address_2": "402",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "021282105",
            "telephone_number": "617-763-6749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRESTA",
        "first_name": "RICHARD",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1029643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1890093",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Corso
• Michael G Courage, PHARMD, MBA, BCACP
• Emily Rose Cournoyer, CNP
• Jada Coy-Jackson
• Rachael Lee Cracknell
• Michele H Crissman, RNP
• Ashley Quici Cross
• Sharon Lea Crow, MS, CCLS
• Caitlin R Crowley, FNP-BC
• Martha J Curtis, RN,LICSW

• Clinical Social Worker in East Boston, MA
• Providers in East Boston, 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 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.