Andrea N. Meninno, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1029093 Issued in MA

Practice address

464 Granite Ave
Suite 25
Milton, MA 02186-5625

Phone

(617) 698-7555

Fax

(617) 698-1274

NPI assigned

Jan 23, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 26, 2021 through Feb 26, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ahimsa Center for Growth and Development

  • Clinical Social Worker
  • Milton, MA
  • NPI 1235396342
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962556100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 GRANITE AVE",
            "address_2": "SUITE 25",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021865625",
            "telephone_number": "617-698-7555",
            "fax_number": "617-698-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 GRANITE AVE",
            "address_2": "SUITE 25",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021865625",
            "telephone_number": "617-698-7555",
            "fax_number": "617-698-1274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENINNO",
        "first_name": "ANDREA",
        "middle_name": "N.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1029093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9706348",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George Benson McManama Jr., M.D.
• Kaitlyn Kelly McTigue, NP
• Medical Center Orthotics and Prosthetics, LLC
• Gregg Raymond Melfi, DDS
• Babar Irfan Memon, M.D., M.SC.
• Mental Health Wellness PLLC
• Yvena Mera
• Suzzanne L Merithew, P.A.
• Susan Marie Merkle
• Deirdre Ann Merrill

• Clinical Social Worker in Milton, MA
• Providers in Milton, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.