Individual provider Active NPI

Amy Stomieroski, LICSW

  • Clinical Social Worker
  • Saugus, MA
National Provider Identifier
1972094506
Registry record updated May 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
120949 Issued in MA
Practice address
36 Spencer Ave
Saugus, MA 01906-1750
Phone
(614) 595-8875
NPI assigned
May 18, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2018

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 120949 MA Primary

Addresses

Primary practice location

36 Spencer Ave
Saugus, MA 01906-1750

Mailing address

36 Spencer Ave
Saugus, MA 01906-1750
Phone (614) 595-8875

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
I20240401002254 MA Practitioner - Clinical Social Worker 2668862434 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hallmark Health Medical Associates IncGroup PAC ID 4385638782, 151 clinicians

Practice addresses (Care Compare)

91 Montvale Ave
Suite 208
Stoneham, MA 02180-3649
Phone (781) 306-6166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
120949MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tufts Medical Center, Inc. CurrentSince Feb 19, 2024 Accepting new patients
Tufts Medical Center, Inc. CurrentSince Feb 19, 2024 Accepting new patients
Hallmark Health Medical Associates Inc CurrentSince Jan 1, 2025 Accepting new patients

Locations

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

750 Washington St
#833
Boston, MA 02111
Phone (617) 636-4800

425 Revere St
Revere, MA 02151
Phone (781) 286-1313

91 Montvale Ave
Ste 208
Stoneham, MA 02180
Phone (781) 279-1123

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": "1526601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526601600000",
    "number": "1972094506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 SPENCER AVE",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019061750",
            "telephone_number": "614-595-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 SPENCER AVE",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019061750",
            "telephone_number": "614-595-8875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOMIEROSKI",
        "first_name": "AMY",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-18",
        "last_updated": "2018-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "120949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saugus, MA

Sources for this page

Verify at the official NPI Registry.