Active NPI
Maya Gengarelli Ribot, LICSW
- Clinical Social Worker
- Millbury, MA
National Provider Identifier
1861878985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 120110
- Practice address
- 22 West St
Millbury, MA 01527-2676 - Phone
- (774) 314-1867
- NPI assigned
- Jul 31, 2015
- Last updated
- Jan 29, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 219177 | MA | |
| Clinical Social Worker | 1041C0700X | 120110 | MA | Primary |
Addresses
Primary practice location
22 West St
Millbury, MA 01527-2676
Mailing address
22 West St
Millbury, MA 01527-2676
Phone (978) 368-6442
Other practice location 1
110 Chester St
Worcester, MA 01605-1044
Phone (617) 529-8287
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 120110 | MA | MD | Clinical Social Worker |
| 219177 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Franklin Perkins School | Past | Accepting new patients | |
| Robert F Kennedy Community Alliance | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Lancaster, MA
- NPI 1669696860
-
dba Perkins Child & Adolescent Behavioral Health
- School Social Worker
- Lancaster, MA
- NPI 1467549022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643414400000",
"number": "1861878985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 WEST ST",
"city": "MILLBURY",
"state": "MA",
"postal_code": "015272676",
"telephone_number": "978-368-6442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 WEST ST",
"city": "MILLBURY",
"state": "MA",
"postal_code": "015272676",
"telephone_number": "774-314-1867"
}
],
"practiceLocations": [
{
"address_1": "110 Chester St",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016051044",
"country_code": "US",
"telephone_number": "617-529-8287",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GENGARELLI RIBOT",
"first_name": "MAYA",
"name_prefix": "Mrs.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-31",
"last_updated": "2022-01-29",
"certification_date": "2022-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "219177",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "120110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Millbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.