1. Home
  2. Directory
  3. Massachusetts
  4. South Hamilton
  5. Social Worker
  6. NPI Profile

MS. MARYELLEN FAIRCHILD COLLAMORE LICSW, LCSW, MT-BC
NPI 1124336920
Social Worker - Clinical in South Hamilton, MA

Active since September 15, 2010PECOS EnrolledAccepts Medicare Assignment
380 HIGHLAND ST, SOUTH HAMILTON, MA 01982(978) 233-1226 Get Directions Write a Review

NPPES record last updated: May 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 28, 2021, Apr 15, 2019, Dec 4, 2018 (3 updates tracked since 2018).

About Ms. Maryellen Fairchild Collamore Licsw, Lcsw, Mt-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MARYELLEN FAIRCHILD COLLAMORE LICSW, LCSW, MT-BC (NPI 1124336920) is an individual clinical provider in South Hamilton, Massachusetts, licensed in Massachusetts (121357) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Francisco, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1124336920
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. MARYELLEN FAIRCHILD COLLAMORECredential: LICSW, LCSW, MT-BC
Location Address380 HIGHLAND STSouth Hamilton, MA 01982-1310
Mailing Address380 Highland StSouth Hamilton, MA 01982-1310 · (978) 233-1226
Phone(978) 233-1226
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 15, 2010
Last NPPES UpdateMay 28, 20213 updates tracked since enumeration
NPPES CertifiedMay 28, 2021
✔ NPI 1124336920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in MA · 121357✔ Licensed in CA · 81865
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedMusic TherapistTaxonomy 225A00000X · License 09139 (PA)
380 HIGHLAND ST, South Hamilton, MA 01982
Open in Google Maps ↗

Other Names 1

Former Name (1)Maryellen Fairchild

Secondary Practice Location 1

Location 11825 4th StSan Francisco, CA 94143-2350 · Phone (415) 353-7982

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Maryellen Fairchild Collamore Licsw, Lcsw, Mt-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800138298
PECOS Enrollment IDI20250415003962
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01982 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.86 – $177.36
Typical copayment $0.00 (range $14.71 – $44.34)
Most-billed visit code NA
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maryellen Collamore's NPI number?

The NPI number for Maryellen Collamore is 1124336920. It was assigned to this individual provider in the NPPES registry on September 15, 2010. The provider is also known as Maryellen Fairchild.

Where is Maryellen Collamore located?

Maryellen Collamore practices at 380 Highland St, South Hamilton, MA 01982. The listed phone number is (978) 233-1226.

What is Maryellen Collamore's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Maryellen Collamore enrolled in Medicare?

Yes. Maryellen Collamore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Maryellen Collamore accept?

Health plans from Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of NC list Maryellen Collamore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maryellen Collamore was last updated on May 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.