Individual provider Active NPI

Brittany Ann Nadeau, LICSW

  • Clinical Social Worker
  • Quincy, MA
National Provider Identifier
1922425495
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
127589 Issued in MA
Practice address
110 W Squantum St Ste 8
Quincy, MA 02171-2158
Phone
(617) 376-3000
NPI assigned
Mar 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Developmental Therapist 222Q00000X
Clinical Social Worker 1041C0700X 127589 MA Primary

Addresses

Primary practice location

110 W Squantum St Ste 8
Quincy, MA 02171-2158

Mailing address

110 W Squantum St Ste 8
Quincy, MA 02171-2158
Phone (617) 376-3000

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
I20231026002063 MA Practitioner - Clinical Social Worker 2961858907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Boston University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manet Community Health Center, Inc.Group PAC ID 4486555158, 52 clinicians

Practice addresses (Care Compare)

1 Washington St
Taunton, MA 02780-5293
Phone (508) 822-5500

8 N Main St
Attleboro, MA 02703-2282
Phone (508) 205-4600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
127589MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Manet Community Health Center, Inc. CurrentSince Sep 17, 2023 Accepting new patients
Manet Community Health Center, Inc. CurrentSince Sep 11, 2023 Accepting new patients
Manet Community Health Center, Inc. CurrentSince Sep 11, 2023 Accepting new patients

Locations

8 N Main St
Attleboro, MA 02703
Phone (508) 205-4600

180 George Washington Blvd
Hull, MA 02045
Phone (781) 925-4550

9 Bicknell St
Quincy, MA 02169
Phone (617) 376-3000

110 W Squantum St
Quincy, MA 02171
Phone (617) 376-3000

110 W Squantum St
Ste 8
Quincy, MA 02171
Phone (617) 376-3000

1193 Sea St
Quincy, MA 02169
Phone (617) 471-8683

1 Washington St
Taunton, MA 02780
Phone (508) 828-9116

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4368/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1922425495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W SQUANTUM ST STE 8",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021712158",
            "telephone_number": "617-376-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W SQUANTUM ST STE 8",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021712158",
            "telephone_number": "617-376-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADEAU",
        "first_name": "BRITTANY",
        "middle_name": "ANN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-24",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "127589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

Verify at the official NPI Registry.