Madeleine Haas, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

115191 Issued in MA

Practice address

69 Milk St
Suite 110a
Westborough, MA 01581-1225

Phone

(508) 654-9400

NPI assigned

Dec 28, 2006

Last updated

Jan 11, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2018 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Thrive Tucson LLC

  dba HeartShift Counseling

  • Counselor
  • Tucson, AZ
  • NPI 1922574607
  NPD (past)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294704000000",
    "number": "1760548531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 914",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015810914",
            "telephone_number": "508-654-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 MILK ST",
            "address_2": "SUITE 110A",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015811225",
            "telephone_number": "508-654-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAS",
        "first_name": "MADELEINE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2011-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "115191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "001212201",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pooja Gupta, D.D.S
• Carolyn M Gure
• Heather Gustafson, PA-C
• Marie Jean Guyette, MS, CGC
• Jeffrey Ha, MD
• Lara Haddad, DMD
• Diane Hagan
• Faiyaz H Hakim, MD
• Farah Hakim
• Stephanie E Hallam, PH.D., FACMG

• Clinical Social Worker in Westborough, MA
• Providers in Westborough, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.