Individual provider Active NPI

Theresa L Musgrave, LCSW

  • Social Worker
  • Woburn, MA
National Provider Identifier
1760199459
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
226354 Issued in MA
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

Updated by the provider on Nov 1, 2022

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 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

IdentifierTypeStateIssuer
226354OtherMALICENSED CERTIFIED SOCIAL WORKER

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
226354MAMDSocial 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

Verify at the official NPI Registry.