Patricia Ann Decotis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

216966 Issued in MA

Practice address

23 Bowden St
Marblehead, MA 01945

Phone

(817) 632-9152

Fax

(781) 631-5656

NPI assigned

Dec 8, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jennifer Joyce NobleGroup PAC ID 0042577249, 4 clinicians

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 and National Provider Directory roles.

• Jennifer Joyce Noble

  • Social Worker
  • Gloucester, MA
  • NPI 1275077554
  Medicare reassignment Care Compare group
• Patty Decotis Therapist

  • Adult Mental Health Clinic/Center
  • Marblehead, MA
  • NPI 1649101577
  NPD Authorized official

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1992073753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 BOWDEN ST",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019452355",
            "telephone_number": "781-632-9152",
            "fax_number": "781-631-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 BOWDEN ST",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "01945",
            "telephone_number": "817-632-9152",
            "fax_number": "781-631-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECOTIS",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-08",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "216966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "216966",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• CVS Pharmacy Inc
• David Tortorella MD LLC
• Liane D. Davis, LICSW
• Erin Eileen Schumacher Decew, FNP-C, RN
• Jennifer Decker
• Kirmsheska Del Rio
• Theresa Phillips Delehaunty, LICSW
• Mary Macary Demakes, R.N.
• Nancy Jane Demuth, PT
• Ivy Dever, LMHC

• Clinical Social Worker in Marblehead, MA
• Providers in Marblehead, 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 May 29, 2026; 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.