Mikaela Juliet Trzesniowski, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

PENDING

Practice address

130 Grove St
Millville, MA 01529-1640

Phone

(860) 319-9973

NPI assigned

Mar 17, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Supportive Behavioral Care of Mass LLCGroup PAC ID 8123530169, 49 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Supportive Behavioral Care of Mass LLC

  • Psychologist
  • Stoneham, MA
  • NPI 1932914223
  Medicare reassignment Care Compare group
• Building Hope Counseling Services

  • Clinical Social Worker
  • Millville, MA
  • NPI 1801523915
  NPD Authorized official
• Supportive Behavioral Care of Ma LLC

  • Clinical Psychologist
  • Needham, MA
  • NPI 1780115519
  Medicare reassignment

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1801544937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 GROVE ST",
            "city": "MILLVILLE",
            "state": "MA",
            "postal_code": "015291640",
            "telephone_number": "860-319-9973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 GROVE ST",
            "city": "MILLVILLE",
            "state": "MA",
            "postal_code": "015291640",
            "telephone_number": "860-319-9973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRZESNIOWSKI",
        "first_name": "MIKAELA",
        "middle_name": "JULIET",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mikaela.trzesniowski@gmail.com",
            "affiliation": "N",
            "address_1": "130 Grove St",
            "city": "Millville",
            "state": "MA",
            "country_code": "US",
            "postal_code": "015291640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennie Laurent, RN
• Melanie Anne Lemay
• Lindsey Miele
• Sarah Rullie
• Town of Millville

• Clinical Social Worker in Millville, MA
• Providers in Millville, 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 Mar 17, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.