Individual provider Active NPI

Renee Giard, LICSW

  • Clinical Social Worker
  • North Andover, MA
National Provider Identifier
1770935694
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
117687 Issued in MA
Practice address
800 Turnpike St Ste 300
North Andover, MA 01845-6156
Phone
(978) 296-5595
Fax
(978) 296-5594
NPI assigned
Jul 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 117687 MA Primary

Addresses

Primary practice location

800 Turnpike St Ste 300
North Andover, MA 01845-6156

Mailing address

800 Turnpike St Ste 300
North Andover, MA 01845-6156
Phone (978) 296-5595

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
I20200807000153 MA Practitioner - Clinical Social Worker 4981029923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrated Behavioral Care New England LLCGroup PAC ID 2860836715, 26 clinicians

Practice addresses (Care Compare)

431 Johnson St
North Andover, MA 01845-4721
Phone (978) 296-5595

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Behavioral Care New England LLC Clinical CurrentSince Jun 1, 2024 Accepting new patients

Locations

800 Turnpike St
Ste 300
North Andover, MA 01845
Phone (978) 494-0441

Organizations & group practices 1

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": "1467417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1770935694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 TURNPIKE ST STE 300",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018456156",
            "telephone_number": "978-296-5595",
            "fax_number": "978-296-5594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 TURNPIKE ST STE 300",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018456156",
            "telephone_number": "978-296-5595",
            "fax_number": "978-296-5594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIARD",
        "first_name": "RENEE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-02",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "117687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Andover, MA

Sources for this page

Verify at the official NPI Registry.