Theodore C Ten Eyck II, LICSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

110928 Issued in MA

Practice address

30 Mechanic St Ste 2
Foxboro, MA 02035-4021

Phone

(508) 543-2133

Fax

(774) 215-5541

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Kerzner Associates PCGroup PAC ID 7012957541, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Kerzner Associates PC

  • Clinical Social Worker
  • Foxboro, MA
  • NPI 1003912049
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1821183088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MECHANIC ST STE 2",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "020354021",
            "telephone_number": "508-543-2133",
            "fax_number": "774-215-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MECHANIC ST STE 2",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "020354021",
            "telephone_number": "508-543-2133",
            "fax_number": "774-215-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEN EYCK",
        "first_name": "THEODORE",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "110928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Michelle Tankle, MS, CCC-SLP
• Daniel Gordon Tarlin, LICSW
• Callie Tavares
• Kelley Ann Taylor-Bentz, DC
• Andrew Taylor, M.D.
• Sarah Anne Tetrault, OTR/L, CTRS
• The Stop & Shop Supermarket Company, LLC (Stop and Shop Pharmacy #494)
• Thompson Plastic Surgery Associates, LLC
• Town of Foxborough
• Tri-Compassionate Care

• Social Worker in Foxboro, MA
• Providers in Foxboro, MA by specialty
• Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; 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.