Individual provider Active NPI

Lenore Pollen, MSW

  • Clinical Social Worker
  • Medford, MA
National Provider Identifier
1851474282
Registry record updated Nov 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
104831 Issued in MA
Practice address
10 High St
Suite 10
Medford, MA 02155-3848
Phone
(781) 395-1560
Fax
(781) 391-5564
NPI assigned
Oct 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2015

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 104831 MA Primary

Addresses

Primary practice location

10 High St
Suite 10
Medford, MA 02155-3848

Mailing address

PO Box 311
Medford, MA 02155-0004
Phone (781) 395-1560

Other identifiers 1

IdentifierTypeStateIssuer
1854810MedicaidMA

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
I20040805001169 MA Practitioner - Clinical Social Worker 5597736017 Reassigns benefits to 1 organization
Practice locations: Saugus, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
DCS Mental Health, IncGroup PAC ID 8820992456, 20 clinicians

Practice addresses (Care Compare)

151 Mystic Ave
Suite 6
Medford, MA 02155-4632
Phone (781) 396-1199

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DCS Mental Health, Inc CurrentSince Dec 21, 2016 Accepting new patients

Locations

151 Mystic Ave
Ste 6
Medford, MA 02155
Phone (617) 396-1199

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": "1161388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448323200000",
    "number": "1851474282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 311",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021550004",
            "telephone_number": "781-395-1560",
            "fax_number": "781-391-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HIGH ST",
            "address_2": "SUITE 10",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553848",
            "telephone_number": "781-395-1560",
            "fax_number": "781-391-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLEN",
        "first_name": "LENORE",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-21",
        "last_updated": "2015-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "104831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1854810",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, MA

Sources for this page

Verify at the official NPI Registry.