Individual provider Active NPI

Gail Elizabeth Marhewka, MSW, LICSW

  • Clinical Social Worker
  • Swansea, MA
National Provider Identifier
1902938566
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
106644 Issued in MA
Practice address
25 Market St
#14
Swansea, MA 02777-3998
Phone
(508) 379-0150
Fax
(508) 379-1112
NPI assigned
Mar 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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 106644 MA Primary

Addresses

Primary practice location

25 Market St
#14
Swansea, MA 02777-3998

Mailing address

25 Market St
#14
Swansea, MA 02777-3998
Phone (508) 379-0150

Other identifiers 2

IdentifierTypeStateIssuer
795496OtherMATUFTS HEALTH PLAN
P05227OtherMABLUE CROSS BLUE SHIELD

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
I20120303000031 MA Practitioner - Clinical Social Worker 7618136003 Practice locations: Swansea, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

25 Market St
Swansea, MA 02777-3998
Phone 50837901503

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322611200000",
    "number": "1902938566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MARKET ST",
            "address_2": "#14",
            "city": "SWANSEA",
            "state": "MA",
            "postal_code": "027773998",
            "telephone_number": "508-379-0150",
            "fax_number": "508-379-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MARKET ST",
            "address_2": "#14",
            "city": "SWANSEA",
            "state": "MA",
            "postal_code": "027773998",
            "telephone_number": "508-379-0150",
            "fax_number": "508-379-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARHEWKA",
        "first_name": "GAIL",
        "middle_name": "ELIZABETH",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2011-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "106644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "795496",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "P05227",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Swansea, MA

Sources for this page

Verify at the official NPI Registry.