DEREK DANA PAZOLT
NPI 1568002228
Social Worker - Clinical in Brockton, MA

Q: What is Derek Pazolt's NPI number?

The NPI number for Derek Pazolt is 1568002228. It was assigned to this individual provider in the NPPES registry on January 10, 2020.

Q: What is Derek Pazolt's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Derek Pazolt was last updated on November 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since January 10, 2020PECOS Enrolled

56 CHERRY ST, BROCKTON, MA 02301(508) 580-0801 Get Directions Write a Review

NPPES record last updated: November 14, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 14, 2025, Oct 12, 2021, Jan 10, 2020 (3 updates tracked since 2020).

On this page

About Derek Dana Pazolt NPPES

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

DEREK DANA PAZOLT (NPI 1568002228) is an individual clinical provider in Brockton, Massachusetts, licensed in Massachusetts (LICSW1121478) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Brockton, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1568002228

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameDEREK DANA PAZOLT

Location Address56 CHERRY STBrockton, MA 02301-2608

Mailing Address56 Cherry StBrockton, MA 02301-2608 · (508) 580-0801

Phone(508) 580-0801

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJanuary 10, 2020

Last NPPES UpdateNovember 14, 20253 updates tracked since enumeration

NPPES CertifiedNovember 14, 2025

✔ NPI 1568002228 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

License✔ Licensed in MA · LICSW1121478

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 ListedSocial WorkerTaxonomy 104100000X

56 CHERRY ST, Brockton, MA 02301

Open in Google Maps ↗

Secondary Practice Location 1

Location 1680 Centre StBrockton, MA 02302-3308 · Phone (508) 941-7000 ext. 15268

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care, Taro Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Derek Dana Pazolt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446741813

PECOS Enrollment IDI20251113000929

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 Derek Pazolt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signature Healthcare Medical Group Inc

3.1 mi

Internal Medicine

110 LIBERTY ST
Brockton, MA 02301

Reassigned Medicare billing, Massachusetts enrollment
409 clinicians in this Medicare group

NPI 1508804949 (508) 894-0400

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02301 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.

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.

THALIA DOMINGUEZ NREMT, MS

Counselor (Mental Health)