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NANCY M BISCEGLIA LICSW
NPI 1205345030
Social Worker - Clinical in Franklin, MA

Active since September 25, 2017PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
38 POND ST, FRANKLIN, MA 02038(508) 528-6037 Get Directions Write a Review

NPPES record last updated: November 15, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 15, 2020, Aug 6, 2020, Sep 28, 2019 (3 updates tracked since 2019).

About Nancy M Bisceglia Licsw NPPES

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

NANCY M BISCEGLIA LICSW (NPI 1205345030) is an individual clinical provider in Franklin, Massachusetts, licensed in Massachusetts (122521) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Health - Harrington Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1205345030
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNANCY M BISCEGLIACredential: LICSW
Location Address38 POND STFranklin, MA 02038-3807
Mailing Address38 Pond StFranklin, MA 02038-3807 · (085) 528-6037
Phone(508) 528-6037
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 25, 2017
Last NPPES UpdateNovember 15, 20203 updates tracked since enumeration
NPPES CertifiedNovember 15, 2020
✔ NPI 1205345030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MA · 122521
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.
38 POND ST, Franklin, MA 02038
Open in Google Maps ↗

Other Identifiers 1

Other14115732Caqh

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.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

Nancy M Bisceglia Licsw 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 ID9537572821
PECOS Enrollment IDI20210105002405
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
328 services40 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
26 services26 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Umass Memorial Health - Harrington Hospital

Acute Care Hospitals · Southbridge, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220019
Location100 South StreetSouthbridge, MA 01550 · Worcester County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02038 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 $63.72 – $189.86
Typical copayment $0.00 (range $15.93 – $47.46)
Most-billed visit code NA
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHERINE HARRIS MSW LCSW
Social Worker
38 POND ST, SUITE 101
FRANKLIN, MA 02038
Norfolk County (508) 528-6037
HRI CLINICS, INC
Community/Behavioral Health
38 POND ST
FRANKLIN, MA 02038
Norfolk County (508) 528-6037
MR. MICHAEL PATRICK SWEENEY MA
Counselor
38 POND ST
FRANKLIN, MA 02038
Norfolk County (508) 528-6037
MRS. MARSHA J LEWELLIN MA
Student in an Organized Health Care Education/Training Program
38 POND ST, SUITE 101
FRANKLIN, MA 02038
Norfolk County (508) 528-6037
SANDRA JOHNSON DUMART
Marriage & Family Therapist
38 POND ST
FRANKLIN, MA 02038
Norfolk County (508) 528-6037
MS. MARIA SAXIONIS S.W, LADC-1,CCBT
Social Worker
38 POND ST
FRANKLIN, MA 02038
Norfolk County (508) 528-6037
ARBOUR COUNSELING SERVICES
Community/Behavioral Health
38 POND ST, SUITE 101
FRANKLIN, MA 02038
Norfolk County (508) 528-6037
MAUREEN ANN WARD
Social Worker (Clinical)
38 POND ST
FRANKLIN, MA 02038
Norfolk County (508) 528-6037

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 Nancy Bisceglia's NPI number?

The NPI number for Nancy Bisceglia is 1205345030. It was assigned to this individual provider in the NPPES registry on September 25, 2017.

Where is Nancy Bisceglia located?

Nancy Bisceglia practices at 38 Pond St, Franklin, MA 02038. The listed phone number is (508) 528-6037.

What is Nancy Bisceglia's specialty?

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

Is Nancy Bisceglia enrolled in Medicare?

Yes. Nancy Bisceglia 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 Nancy Bisceglia accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Nancy Bisceglia 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.

Is Nancy Bisceglia affiliated with any hospitals?

According to CMS data, Nancy Bisceglia is affiliated with Umass Memorial Health - Harrington Hospital.

When was this NPI record last updated?

The NPPES record for Nancy Bisceglia was last updated on November 15, 2020. 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.