Active NPI
Theresa L Musgrave, LCSW
- Social Worker
- Woburn, MA
National Provider Identifier
1760199459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 226354
- Practice address
- 500 W Cummings Park Ste 4100
Woburn, MA 01801-6515 - Phone
- (978) 744-1099
- NPI assigned
- Nov 1, 2022
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 226354 | MA | Primary |
Addresses
Primary practice location
500 W Cummings Park Ste 4100
Woburn, MA 01801-6515
Mailing address
413 Chandler St
Tewksbury, MA 01876-2826
Phone (978) 767-6418
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 226354 | Other | MA | LICENSED CERTIFIED SOCIAL WORKER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tmusgrave@plummeryouthpromise.org |
Medicare participation
Medicare enrollment files- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 226354 | MA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667260800000",
"number": "1760199459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "413 CHANDLER ST",
"city": "TEWKSBURY",
"state": "MA",
"postal_code": "018762826",
"telephone_number": "978-767-6418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W CUMMINGS PARK STE 4100",
"city": "WOBURN",
"state": "MA",
"postal_code": "018016515",
"telephone_number": "978-744-1099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSGRAVE",
"first_name": "THERESA",
"middle_name": "L",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-01",
"last_updated": "2022-11-01",
"certification_date": "2022-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "226354",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED CERTIFIED SOCIAL WORKER",
"identifier": "226354",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tmusgrave@plummeryouthpromise.org",
"affiliation": "N",
"address_1": "500 W Cummings Park Ste 4100",
"city": "Woburn",
"state": "MA",
"country_code": "US",
"postal_code": "018016515",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Woburn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.