Individual provider Active NPI

Samantha Tremlett

  • Clinical Social Worker
  • Medfield, MA
National Provider Identifier
1770066300
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LICSW125973 Issued in MA
Practice address
2 Flint Locke LN
Medfield, MA 02052-1813
Phone
(617) 383-7466
NPI assigned
Sep 10, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 225912 MA
Community Health Worker 172V00000X
Clinical Social Worker 1041C0700X LICSW125973 MA Primary

Addresses

Primary practice location

2 Flint Locke LN
Medfield, MA 02052-1813

Mailing address

2 Flint Locke LN
Medfield, MA 02052-1813
Phone (857) 488-0031

Other practice location 1

780 American Legion Hwy
Roslindale, MA 02131-3908
Phone (857) 276-4295

Other practice location 2

12 Tyler St
Somerville, MA 02143-3241
Phone (617) 629-3919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250417001008 MA Practitioner - Clinical Social Worker 7911422449 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LICSW125973MAMDClinical Social Worker
225912MAMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Human Relations Service CurrentSince Feb 9, 2025 Accepting new patients
The Guidance Center Past Accepting new patients
Riverside Community Care Past Accepting new patients

Locations

11 Chapel Pl
Wellesley Hls, MA 02481
Phone (781) 235-4950

Organizations & group practices 3

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": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1770066300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 FLINT LOCKE LN",
            "city": "MEDFIELD",
            "state": "MA",
            "postal_code": "020521813",
            "telephone_number": "857-488-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 FLINT LOCKE LN",
            "city": "MEDFIELD",
            "state": "MA",
            "postal_code": "020521813",
            "telephone_number": "617-383-7466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "780 American Legion Hwy",
            "address_purpose": "LOCATION",
            "city": "Roslindale",
            "state": "MA",
            "postal_code": "021313908",
            "country_code": "US",
            "telephone_number": "857-276-4295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 Tyler St",
            "address_purpose": "LOCATION",
            "city": "Somerville",
            "state": "MA",
            "postal_code": "021433241",
            "country_code": "US",
            "telephone_number": "617-629-3919",
            "fax_number": "617-623-0897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TREMLETT",
        "first_name": "SAMANTHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "MA",
            "license": "225912",
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW125973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medfield, MA

Sources for this page

Verify at the official NPI Registry.