Individual provider Active NPI

Quinn Duncan Somerside, MSW

  • Counselor
  • Waltham, MA
National Provider Identifier
1851946461
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
675 Main St
Waltham, MA 02451-0602
Phone
(781) 893-5110
NPI assigned
Aug 9, 2019
Last updated
Aug 9, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

675 Main St
Waltham, MA 02451-0602

Mailing address

675 Main St
Waltham, MA 02451-0602
Phone (781) 893-5110

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
I20221028000801 MA Practitioner - Clinical Social Worker 2961879341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advocates, Inc.Group PAC ID 9830404045, 111 clinicians

Practice addresses (Care Compare)

354 Waverley St
FL 2
Framingham, MA 01702-7079
Phone (508) 661-2020

Merit-based Incentive Payment System (MIPS)

Final score
66.41 of 100Reported as group
Quality
68
Promoting interoperability
0
Improvement activities
40
Cost
81.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advocates, Inc CurrentSince Sep 23, 2022 Accepting new patients
Advocates, Inc. CurrentSince Sep 23, 2022 Accepting new patients

Locations

1094 Worcester Rd
Framingham, MA 01702
Phone (508) 665-4344

1881 Worcester Rd
Framingham, MA 01701

354 Waverley St
Fl 2
Framingham, MA 01702
Phone (440) 223-3654

675 Main St
Waltham, MA 02451
Phone (781) 314-9567

Organizations & group practices 2

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": "1565308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1851946461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 MAIN ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024510602",
            "telephone_number": "781-893-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 MAIN ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024510602",
            "telephone_number": "781-893-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMERSIDE",
        "first_name": "QUINN",
        "middle_name": "DUNCAN",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-09",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

Verify at the official NPI Registry.