Individual provider Active NPI

Elyssa Granoff, LICSW

  • Clinical Social Worker
  • Hopkinton, MA
National Provider Identifier
1912599689
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
226495 Issued in MA
Practice address
47 Oakhurst Rd
Hopkinton, MA 01748-2721
Phone
(339) 235-0921
NPI assigned
Feb 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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 226495 MA Primary

Addresses

Primary practice location

47 Oakhurst Rd
Hopkinton, MA 01748-2721

Mailing address

47 Oakhurst Rd
Hopkinton, MA 01748-2721
Phone (339) 235-0921

Other names 1

  • Elyssa Dewolfe Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
226495MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Community Care, Inc. CurrentSince Oct 1, 2023 Accepting new patients

Locations

270 Bridge St
Ste 301
Dedham, MA 02026
Phone (617) 230-9905

176 West St
Milford, MA 01757
Phone (508) 529-7000

190 Lenox St
Norwood, MA 02062
Phone (781) 769-8670

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1912599689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 OAKHURST RD",
            "city": "HOPKINTON",
            "state": "MA",
            "postal_code": "017482721",
            "telephone_number": "339-235-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 OAKHURST RD",
            "city": "HOPKINTON",
            "state": "MA",
            "postal_code": "017482721",
            "telephone_number": "339-235-0921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANOFF",
        "first_name": "ELYSSA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-04",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "226495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELYSSA",
            "last_name": "DEWOLFE",
            "credential": "LICSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hopkinton, MA

Sources for this page

Verify at the official NPI Registry.