Active NPI
Teresa Devlin, MSW, LICSW
- Clinical Social Worker
- Hanson, MA
National Provider Identifier
1710707914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LICSW127481
- Practice address
- 195 Main St
Hanson, MA 02341-1938 - Phone
- (617) 755-6784
- NPI assigned
- Oct 12, 2024
- Last updated
- Oct 12, 2024
- 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 | LICSW127481 | MA | Primary |
Addresses
Primary practice location
195 Main St
Hanson, MA 02341-1938
Mailing address
195 Main St
Hanson, MA 02341-1938
Phone (617) 755-6784
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
90 Canal St
Suite 4
Boston, MA 02114-2022
Phone (866) 630-0966
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind Provider Network LLC | Clinical | Current | Accepting new patients |
Locations
90 Canal St
Ste 4
Boston, MA 02114
Phone (617) 517-4889
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": "1728691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728691200000",
"number": "1710707914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "195 MAIN ST",
"city": "HANSON",
"state": "MA",
"postal_code": "023411938",
"telephone_number": "617-755-6784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "195 MAIN ST",
"city": "HANSON",
"state": "MA",
"postal_code": "023411938",
"telephone_number": "617-755-6784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVLIN",
"first_name": "TERESA",
"credential": "MSW, LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-12",
"last_updated": "2024-10-12",
"certification_date": "2024-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "LICSW127481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hanson, MA
- Sara A Cluett
- Cynthia Cookson, RRT AEC
- Erin M Cox, MS, ACNS-BC, CCRN
- CVS Pharmacy Inc (CVS Pharmacy # 01249)
- Elicia Deparolesa, PHARMD
- Elyssa Pettepit Dorsey, BCBA, LABA
- Jamie Edgerly
- Family Dental and Implant Center PC (Hanson Family Dental)
- Michelle Frawley
- Emily Elizabeth Fredrickson, RN, CPNP-PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2024; 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.