Individual provider Active NPI

Oksana M Tsichlis, LCSW

  • Clinical Social Worker
  • Dorchester, MA
National Provider Identifier
1811445166
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
221784 Issued in MA
Practice address
1100 Washington St
Ste. 206
Dorchester, MA 02124-5520
Phone
(617) 325-2993
Fax
(617) 325-5618
NPI assigned
Sep 15, 2016
Last updated
Feb 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 221784 MA
Clinical Social Worker 1041C0700X 221784 MA Primary

Addresses

Primary practice location

1100 Washington St
Ste. 206
Dorchester, MA 02124-5520

Mailing address

1100 Washington St
Ste. 206
Dorchester, MA 02124-5520
Phone (617) 325-2993

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
I20240329000699 MA Practitioner - Clinical Social Worker 1759725153 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Supportive Behavioral Care of Mass LLCGroup PAC ID 8123530169, 49 clinicians
Supportive Behavioral Care of Ma LLCGroup PAC ID 8628346731, 103 clinicians

Practice addresses (Care Compare)

184 Swanton St
Winchester, MA 01890-1921
Phone (718) 506-1115

44 School St
RM 325
Boston, MA 02108-4209
Phone (718) 298-4375

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
221784MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Behavioral Care of Ma LLC Single Specialty CurrentSince Feb 10, 2024 Accepting new patients
Supportive Behavioral Care of Mass LLC Clinical CurrentSince May 13, 2025 Accepting new patients
Community Services Institute Past Accepting new patients
Community Services Institute, Inc. Single Specialty PastSince Oct 29, 2023 Accepting new patients

Locations

44 School St
Rm 325
Boston, MA 02108
Phone (508) 831-8558

2 Beaumont Ave
Brockton, MA 02302
Phone (508) 588-8500

11 North St
Stoneham, MA 02180
Phone (603) 759-4559

184 Swanton St
Winchester, MA 01890
Phone (781) 721-5025

18 Frances St
Woburn, MA 01801
Phone (781) 933-8175

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1811445166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 WASHINGTON ST",
            "address_2": "STE. 206",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021245520",
            "telephone_number": "617-325-2993",
            "fax_number": "617-325-5618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 WASHINGTON ST",
            "address_2": "STE. 206",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021245520",
            "telephone_number": "617-325-2993",
            "fax_number": "617-325-5618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSICHLIS",
        "first_name": "OKSANA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-15",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "221784",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "221784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorchester, MA

Sources for this page

Verify at the official NPI Registry.