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NPI · 1124336920 · NPPES-sourced

Ms. Maryellen Collamore Licsw, LCSW, Mt-Bc

ActiveClinical Social Worker
NPI Number
1124336920
Type 1 · Individual
Taxonomy Code
1041C0700X
Contact
(978) 233-1226
License MA · 121357
Last Updated
About 5 years ago (May 2021)
Enumerated 2010-09-15
Primary practice addressMA · 01982-1310
380 Highland StSouth Hamilton, MA 01982-1310
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Also known as

  • Formerly known asFairchild, Maryellen

Source: NPPES public registry.

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About this NPIWhat this record shows.

NPI 1124336920 is registered to Ms. Maryellen Collamore Licsw, LCSW, Mt-Bc, a Clinical Social Worker practising at 380 Highland St in South Hamilton, Massachusetts. Clinical Social Worker is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Ms. Maryellen Collamore Licsw, LCSW, Mt-Bc has been enumerated in the National Provider Identifier (NPI) registry since 2010.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2010-09-15
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Ms. Maryellen Collamore Licsw, LCSW, Mt-Bc accepts. To confirm in-network status with your specific health plan, contact Ms. Maryellen Collamore Licsw, LCSW, Mt-Bc directly at (978) 233-1226.

Frequently asked

Yes. NPI 1124336920 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Clinical Social Worker is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (978) 233-1226.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Ms. Maryellen Collamore Licsw, LCSW, Mt-Bc is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy1041C0700X
Last updated2021-05
Enumerated2010-09-15
StatusActive
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