Individual provider Active NPI

Mary As Minalga, LICSW

  • Clinical Social Worker
  • Shrewsbury, MA
National Provider Identifier
1942271762
Registry record updated May 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1018362 Issued in MA
Practice address
26 Eastwood Rd
Shrewsbury, MA 01545-5659
Phone
(508) 842-1939
NPI assigned
Jan 30, 2006
Last updated
May 19, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 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 1018362 MA Primary

Addresses

Primary practice location

26 Eastwood Rd
Shrewsbury, MA 01545-5659

Mailing address

26 Eastwood Rd
Shrewsbury, MA 01545-5659
Phone (508) 842-1939

Other identifiers 3

IdentifierTypeStateIssuer
711596000OtherMAMAGELLANBEHAVIORAL
1033310OtherMAFALLON/BEACONHEALTH
P06665OtherMABC-BS PPO/HMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Oct 5, 2020 through Oct 5, 2026

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305763200000",
    "number": "1942271762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 EASTWOOD RD",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015455659",
            "telephone_number": "508-842-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 EASTWOOD RD",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015455659",
            "telephone_number": "508-842-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINALGA",
        "first_name": "MARY",
        "middle_name": "AS",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2011-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1018362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLANBEHAVIORAL",
            "identifier": "711596000",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON/BEACONHEALTH",
            "identifier": "1033310",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC-BS PPO/HMO",
            "identifier": "P06665",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, MA

Sources for this page

Verify at the official NPI Registry.