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

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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 (2,494 clinicians)

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 Hospital · Southbridge, MA · CCN 220019
  • Umass Memorial Medical Center/University Campus Hospital · Worcester, MA · CCN 220163

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100 (apm)
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 IDStateProvider typePAC IDDetails
I20120320000274 MA Practitioner - Clinical Social Worker 5092975649 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
213017MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Umass Memorial Health-Harrington Hospital Inc Current
since Jan 1, 2016
Accepting new patients
Umass Memorial Medical Group, Inc. Current
since Oct 10, 2023
Accepting new patients
Umass Memorial Medical Group Inc Current
since Oct 10, 2023
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)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "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

All providers in Norwood, MA · Clinical Social Worker in Massachusetts

Sources for this page

Verify at the official NPI Registry.