Individual provider Active NPI

Eleanor Corcoran

  • Clinical Social Worker
  • Brighton, MA
National Provider Identifier
1851645816
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
77B Warren St
Brighton, MA 02135-3601
Phone
(617) 787-1901
Fax
(617) 254-3461
NPI assigned
Oct 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

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 Primary

Addresses

Primary practice location

77B Warren St
Brighton, MA 02135-3601

Mailing address

77B Warren St
Brighton, MA 02135-3601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH, VT, ME, NC5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20200413001009 MA Practitioner - Clinical Social Worker 8426487513 Reassigns benefits to 2 organizations
I20240703001722 NH Practitioner - Clinical Social Worker 8426487513 Reassigns benefits to 1 organization
I20240819003218 VT Practitioner - Clinical Social Worker 8426487513
I20240822002863 ME Practitioner - Clinical Social Worker 8426487513 Reassigns benefits to 1 organization
I20241029003198 NC Practitioner - Clinical Social Worker 8426487513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Belonging Medical Group PLLCGroup PAC ID 8022443878, 39 clinicians

Practice addresses (Care Compare)

103 India St
Portland, ME 04101-4211
Phone (866) 679-0831

1900 W Park Dr
Suite 280
Westborough, MA 01581-3919
Phone (866) 679-0831

2501 Bragg Blvd
Suite D
Fayetteville, NC 28303-4141
Phone (866) 679-0831

263 Main St
Nashua, NH 03060-2953
Phone (866) 679-0831

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eliot Community Human Services Current Accepting new patients
Belonging Medical Group PLLC CurrentSince Dec 9, 2022 Accepting new patients
Eliot Community Human Services CurrentSince Mar 9, 2020 Accepting new patients
Total Wellness Centers, LLC PastSince Jul 1, 2024 Accepting new patients

Locations

173 Chelsea St
Everett, MA 02149
Phone (617) 397-2020

125 Hartwell Ave
Lexington, MA 02421
Phone (781) 734-2060

1900 W Park Dr
Ste 280
Westborough, MA 01581
Phone (508) 983-1425

103 India St
Portland, ME 04101
Phone (207) 874-8446

7 Oak Hill Ter
Ste 205
Scarborough, ME 04074

2501 Bragg Blvd
Ste D
Fayetteville, NC 28303

25 Green St
Lebanon, NH 03766
Phone (802) 478-0597

131 Woodstock Ave
Rutland, VT 05701

5 S Main St
Ste 302
White River Junction, VT 05001

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351555200000",
    "number": "1851645816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77B WARREN ST",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021353601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77B WARREN ST",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021353601",
            "telephone_number": "617-787-1901",
            "fax_number": "617-254-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORCORAN",
        "first_name": "ELEANOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-30",
        "last_updated": "2012-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MA

Sources for this page

Verify at the official NPI Registry.