Individual provider Active NPI

Lauren Chianciola Sr., LICSW

  • Clinical Social Worker
  • Beverly, MA
National Provider Identifier
1740503366
Registry record updated Oct 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
116706 Issued in MA
Practice address
8 Thorndike St
Beverly, MA 01915-5858
Phone
(508) 284-2635
NPI assigned
Mar 10, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X S83932926 MA
Clinical Social Worker 1041C0700X 10866 FL
Clinical Social Worker 1041C0700X 116706 MA Primary

Addresses

Primary practice location

8 Thorndike St
Beverly, MA 01915-5858

Mailing address

48 Perkins St
Gloucester, MA 01930-2931
Phone (508) 284-2635

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
I20120215000824 MA Practitioner - Clinical Social Worker 6507024809 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10866FLMDClinical Social Worker
S83932926MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Advocates, Inc CurrentSince Aug 7, 2024 Accepting new patients
Advocates, Inc. Current Accepting new patients
FCP, Inc CurrentSince Oct 25, 2017 Accepting new patients
Advocates, Inc CurrentSince Aug 7, 2024 Accepting new patients

Locations

1094 Worcester Rd
Framingham, MA 01702
Phone (508) 665-4344

1881 Worcester Rd
Framingham, MA 01701

360 Merrimack St
Ste 3
Lawrence, MA 01843
Phone (978) 687-1617

200 Corporate Pl
Ste 6A
Peabody, MA 01960
Phone (978) 522-5002

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381795200000",
    "number": "1740503366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 PERKINS ST",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019302931",
            "telephone_number": "508-284-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 THORNDIKE ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019155858",
            "telephone_number": "508-284-2635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIANCIOLA",
        "first_name": "LAUREN",
        "name_suffix": "Sr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-10",
        "last_updated": "2013-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "S83932926",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "10866",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "116706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

Verify at the official NPI Registry.