Meagan Elizabeth Gaine, LCSW
Individual provider Active NPI Clinical Social Worker · Norwood, MA
NPI 1962551929 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1962551929
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 213017 (MA)
- Practice address
- 190 Lenox St
Norwood, MA 02062-3416 - Phone
- (781) 769-8670
- Fax
- (781) 769-6717
- NPI assigned
- Jan 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Umass Memorial Medical Group Inc
Practice addresses (Care Compare)
340 Thompson Rd
Webster, MA 01570-1509
Phone (508) 943-5132
55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-1000
Hospital & facility affiliations
- Umass Memorial Health - Harrington Hospital
- Umass Memorial Medical Center/University Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 82.98
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120320000274 | MA | Practitioner - Clinical Social Worker | 5092975649 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 213017 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Umass Memorial Health-Harrington Hospital Inc | Current |
Accepting new patients | |
| Umass Memorial Medical Group, Inc. | Current |
Accepting new patients | |
| Umass Memorial Medical Group Inc | Current |
Accepting new patients | |
| Riverside Community Care | Past | Accepting new patients |
Locations
100 South St
Southbridge, MA 01550
Phone (508) 764-8012
29 Pine St
Southbridge, MA 01550
Phone (508) 765-2202
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 213017 | MA | Yes |
Addresses
Primary practice location
190 Lenox St
Norwood, MA 02062-3416
Mailing address
113 Walnut St Apt 5
Stoughton, MA 02072-2679
Phone (508) 320-6562
NPI Registry JSON
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962551929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 WALNUT ST APT 5",
"city": "STOUGHTON",
"state": "MA",
"postal_code": "020722679",
"telephone_number": "508-320-6562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 LENOX ST",
"city": "NORWOOD",
"state": "MA",
"postal_code": "020623416",
"telephone_number": "781-769-8670",
"fax_number": "781-769-6717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAINE",
"first_name": "MEAGAN",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "213017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwood, MA
- Helen Fucci
- Emily Catherine Fuqua
- John Micheal Gaca
- Jeanna Gaetani
- Jared Douglas Gailes
- Stephen G Galante
- Stanley T Galas
- Frederick Murray Gale
- Kelsey Gallagher
- Rebeca Gallego
All providers in Norwood, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.