Individual provider Active NPI

Ana Cabacoff, LICSW

  • Clinical Social Worker
  • Lawrence, MA
National Provider Identifier
1972623304
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
100149 Issued in MA
Practice address
599 Canal St
Suite 1, East
Lawrence, MA 01840-1244
Phone
(781) 871-6550
NPI assigned
Mar 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 100149 MA Primary

Addresses

Primary practice location

599 Canal St
Suite 1, East
Lawrence, MA 01840-1244

Mailing address

44 Cherry Hollow Rd
Nashua, NH 03062-2235

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
I20081230000027 MA Practitioner - Clinical Social Worker 2769544741 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Americare Behavioral Health, LLCGroup PAC ID 7113343807, 4 clinicians

Practice addresses (Care Compare)

599 Canal St
Lawrence, MA 01840-1244
Phone (978) 399-6601

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
100149MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Services of the Merrimack Valley, Inc. CurrentSince May 23, 2012 Accepting new patients
Americare Behavioral Health, LLC CurrentSince Mar 17, 2024 Accepting new patients

Locations

430 N Canal St
Lawrence, MA 01840
Phone (978) 327-6600

599 Canal St
Ste 5E1
Lawrence, MA 01840
Phone (978) 399-6601

Organizations & group practices 2

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": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972623304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 CHERRY HOLLOW RD",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030622235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 CANAL ST",
            "address_2": "SUITE 1, EAST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401244",
            "telephone_number": "781-871-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABACOFF",
        "first_name": "ANA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "100149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

Verify at the official NPI Registry.