Individual provider Active NPI

Elizabeth Thomas, LICSW

  • Clinical Social Worker
  • Marshfield, MA
National Provider Identifier
1881238962
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
122599 Issued in MA
Practice address
541 Plain St
Marshfield, MA 02050-2752
Phone
(781) 834-0747
NPI assigned
Nov 1, 2019
Last updated
Jul 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 222934 MA
Clinical Social Worker 1041C0700X 122599 MA Primary

Addresses

Primary practice location

541 Plain St
Marshfield, MA 02050-2752

Mailing address

541 Plain St
Marshfield, MA 02050-2752

Other practice location 1

225 Beach St
Revere, MA 02151-3130
Phone (617) 884-6413

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Theranest

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
I20200814001417 MA Practitioner - Clinical Social Worker 2860818309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Massbay Counseling IncGroup PAC ID 1658387410, 2 clinicians

Practice addresses (Care Compare)

541 Plain St
Marshfield, MA 02050-2752
Phone (781) 834-0747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
222934MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Massbay Counseling,Inc. Clinical CurrentSince Aug 14, 2020 Accepting new patients

Locations

541 Plain St
Marshfield, MA 02050
Phone (781) 834-0747

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, 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": "1572566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1881238962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 PLAIN ST",
            "city": "MARSHFIELD",
            "state": "MA",
            "postal_code": "020502752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 PLAIN ST",
            "city": "MARSHFIELD",
            "state": "MA",
            "postal_code": "020502752",
            "telephone_number": "781-834-0747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Beach St",
            "address_purpose": "LOCATION",
            "city": "Revere",
            "state": "MA",
            "postal_code": "021513130",
            "country_code": "US",
            "telephone_number": "617-884-6413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ELIZABETH",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-01",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "222934",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "122599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Theranest",
            "affiliation": "N",
            "address_1": "541 Plain St",
            "city": "Marshfield",
            "state": "MA",
            "country_code": "US",
            "postal_code": "020502752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marshfield, MA

Sources for this page

Verify at the official NPI Registry.