Sandra Goncalves Pajarillaga, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

110475 Issued in MA

Practice address

243 Andover St
Peabody, MA 01960-1521

Phone

(978) 532-2500

Fax

(978) 532-0200

NPI assigned

Aug 14, 2006

Last updated

Dec 13, 2015By 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

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

Specialty

Clinical Social Worker

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Northeast Behavioral Health Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Beverly, MA
  • NPI 1154302586
  NPD (past)
• Northeast Hospital Corporation

  • Psychiatric Hospital Unit
  • Beverly, MA
  • NPI 1407827710
  NPD (past)
• Psychiatric Associates of Lynn PC

  • Specialist
  • Lynn, MA
  • NPI 1306974662
  NPD (past)

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449964800000",
    "number": "1982617783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 ANDOVER ST",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019601521",
            "telephone_number": "978-532-2500",
            "fax_number": "978-532-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 ANDOVER ST",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019601521",
            "telephone_number": "978-532-2500",
            "fax_number": "978-532-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAJARILLAGA",
        "first_name": "SANDRA",
        "middle_name": "GONCALVES",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2015-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "110475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mayank Pahwa, DMD
• Pain and Wellness Center
• Pain and Wellness Center
• Pain and Wellness Center
• Nicholas Paine, RPH
• Kelly Pajela, M.D.
• Maria S Palermo, NP
• Ashley Palmer, RN
• Christina Palmer, PTA
• Josephine C Pandolfo, D.M.D.

• Clinical Social Worker in Peabody, MA
• Providers in Peabody, 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 Dec 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.