MR. TREVOR WOODWORTH
NPI 1467755280
Counselor in Malden, MA

Active since December 16, 2010PECOS Enrolled
730 EASTERN AVE, MALDEN, MA 02148(781) 879-8166 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Trevor Woodworth NPPES

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

MR. TREVOR WOODWORTH (NPI 1467755280) is an individual counselor in Malden, Massachusetts and active in the NPI registry since December 2010. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1467755280
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMR. TREVOR WOODWORTH
Location Address730 EASTERN AVEMalden, MA 02148-5924
Mailing Address1 Embarcadero Ctr Ste 1900San Francisco, CA 94111-3723 · (415) 658-6791 · Fax (415) 252-7176
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateDecember 16, 2010
Last NPPES UpdateJune 12, 2026
NPPES CertifiedJune 12, 2026
✔ NPI 1467755280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
730 EASTERN AVE, Malden, MA 02148

Secondary Practice Locations 2

Location 11350 Connecticut Ave NW Ste 1250Washington, DC 20036-1728 · Phone (888) 663-6331 · Fax (415) 252-7176
Location 253 State StBoston, MA 02109-2820 · Phone (617) 903-5000

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Trevor Woodworth is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749728970
PECOS Enrollment IDI20260303000480
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.

Medicare Billing Reassignment

Medicare enrollment records show Trevor Woodworth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
53 STATE ST STE 106
Boston, MA 02109
  • Reassigned Medicare billing, Massachusetts enrollment
  • 350 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Counselor
730 EASTERN AVE
MALDEN, MA 02148
Social Worker (Clinical)
730 EASTERN AVE
MALDEN, MA 02148
Counselor
730 EASTERN AVE
MALDEN, MA 02148
Counselor (Mental Health)
730 EASTERN AVE
MALDEN, MA 02148
Community Health Worker
730 EASTERN AVE
MALDEN, MA 02148
Counselor (Mental Health)
730 EASTERN AVE
MALDEN, MA 02148
Social Worker (Clinical)
730 EASTERN AVE
MALDEN, MA 02148
Counselor (Professional)
730 EASTERN AVE
MALDEN, MA 02148

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 Trevor Woodworth's NPI number?

The NPI number for Trevor Woodworth is 1467755280. It was assigned to this individual provider in the NPPES registry on December 16, 2010.

Where is Trevor Woodworth located?

Trevor Woodworth practices at 730 Eastern Ave, Malden, MA 02148. The listed phone number is (781) 879-8166.

What is Trevor Woodworth's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Trevor Woodworth enrolled in Medicare?

Yes. Trevor Woodworth is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Trevor Woodworth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Trevor Woodworth reassigns Medicare benefits to Mass General Brigham Community Physicians Inc. (Boston, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Trevor Woodworth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Trevor Woodworth accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Taro Health list Trevor Woodworth 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 Trevor Woodworth was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.