Individual provider Active NPI

Lucille A Radcliffe, LICSW

  • Social Worker
  • Chelsford, MA
National Provider Identifier
1740293463
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
111477 Issued in MA
Practice address
201 Chelmsford Street
Chelsford, MA 01824
Phone
(978) 256-1467
NPI assigned
Aug 14, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 111477 MA Primary

Addresses

Primary practice location

201 Chelmsford Street
Chelsford, MA 01824

Mailing address

201 Chelmsford St
Chelmsford, MA 01824-2307
Phone (978) 256-1467

Other identifiers 1

IdentifierTypeStateIssuer
P23043MedicaidMA

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
I20040902000896 MA Practitioner - Clinical Social Worker 1658347521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Therapy Associates of Chelmsford,LLCGroup PAC ID 9830342310, 2 clinicians

Practice addresses (Care Compare)

73 Princeton St
Suite 212
N Chelmsford, MA 01863-1681
Phone (978) 710-7569

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
111477MAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Associates of Chelmsford,LLC CurrentSince Nov 20, 2012 Accepting new patients

Locations

3 Courthouse Ln
Ste 8
Chelmsford, MA 01824
Phone (978) 710-7569

73 Princeton St
Ste 212
North Chelmsford, MA 01863
Phone (978) 424-6789

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740293463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 CHELMSFORD ST",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018242307",
            "telephone_number": "978-256-1467",
            "fax_number": "978-256-7465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CHELMSFORD STREET",
            "city": "CHELSFORD",
            "state": "MA",
            "postal_code": "01824",
            "telephone_number": "978-256-1467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADCLIFFE",
        "first_name": "LUCILLE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "111477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P23043",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.