Individual provider Active NPI

Mary Ellen McLean, M.S.W.

  • Social Worker
  • Salem, MA
National Provider Identifier
1851476220
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
2026079 Issued in MA
Practice address
48 Bridge St
Salem, MA 01970-4127
Phone
(978) 744-7905
Fax
(978) 740-9145
NPI assigned
Oct 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 2026079 MA Primary

Addresses

Primary practice location

48 Bridge St
Salem, MA 01970-4127

Mailing address

66 Lee St
Apt. 2
Marblehead, MA 01945-3253
Phone (781) 639-8579

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
I20170202001052 MA Practitioner - Clinical Social Worker 3870876659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Justice Resource Institute, IncGroup PAC ID 3274430590, 24 clinicians

Practice addresses (Care Compare)

110 Boston St
Salem, MA 01970-1402
Phone (978) 744-7905

380 Massachusetts Ave
Acton, MA 01720-3743
Phone (978) 264-3619

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2026079MAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Justice Resource Institute, Inc. CurrentSince Jan 1, 2017 Accepting new patients
Children's Friend and Family Services Past Accepting new patients
Justice Resource Institute, Inc Past Accepting new patients

Locations

380 Massachusetts Ave
Acton, MA 01720
Phone (978) 263-3006

160 Gould St
Ste 300
Needham Heights, MA 02494
Phone (781) 559-4900

110 Boston St
Salem, MA 01970
Phone (781) 592-5691

Organizations & group practices 3

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851476220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 LEE ST",
            "address_2": "APT. 2",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019453253",
            "telephone_number": "781-639-8579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 BRIDGE ST",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019704127",
            "telephone_number": "978-744-7905",
            "fax_number": "978-740-9145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEAN",
        "first_name": "MARY ELLEN",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "2026079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

Verify at the official NPI Registry.