Individual provider Active NPI

Manuela F Maciel, LICSW

  • Clinical Social Worker
  • New Bedford, MA
National Provider Identifier
1992030134
Registry record updated Oct 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1024808 Issued in MA
Practice address
1061 Pleasant St
New Bedford, MA 02740-6728
Phone
(508) 996-8572
Fax
(508) 991-8618
NPI assigned
Oct 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2009

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 1024808 MA Primary

Addresses

Primary practice location

1061 Pleasant St
New Bedford, MA 02740-6728

Mailing address

53 Swift St
New Bedford, MA 02740-2059
Phone (774) 206-6141

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
I20050801000279 MA Practitioner - Clinical Social Worker 7113955170 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brighter Side Wellness LLCGroup PAC ID 9032429915, 5 clinicians

Practice addresses (Care Compare)

67 Brigham St
New Bedford, MA 02740-2211

77 State Rd
North Dartmouth, MA 02747-2935
Phone (774) 202-6963

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1024808MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
BSW Psychiatry, LLC CurrentSince Oct 7, 2025 Accepting new patients
Brighter Side Wellness LLC CurrentSince Nov 18, 2023 Accepting new patients

Locations

77 State Rd
Ste R
North Dartmouth, MA 02747
Phone (774) 202-6963

77 State Rd
#R
North Dartmouth, MA 02747
Phone (774) 202-6963

77R State Rd
North Dartmouth, MA 02747
Phone (508) 996-0389

77 State Rd
Ste 1R
North Dartmouth, MA 02747
Phone (774) 202-6963

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": "1254787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254787200000",
    "number": "1992030134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 SWIFT ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027402059",
            "telephone_number": "774-206-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 PLEASANT ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027406728",
            "telephone_number": "508-996-8572",
            "fax_number": "508-991-8618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACIEL",
        "first_name": "MANUELA",
        "middle_name": "F",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-06",
        "last_updated": "2009-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1024808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

Verify at the official NPI Registry.