AMY S KAVADLO LICSW - NPI 1629054002 - Social Worker in Randolph, MA

Q: What is Amy Kavadlo's NPI number?

The NPI number for Amy Kavadlo is 1629054002. It was assigned to this individual provider in the NPPES registry on December 19, 2005.

Q: What is Amy Kavadlo's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Amy Kavadlo was last updated on February 1, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Amy S Kavadlo Licsw NPPES

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

AMY S KAVADLO LICSW (NPI 1629054002) is an individual social worker in Randolph, Massachusetts, licensed in Massachusetts (104863) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1979).

NPPES Registry Identity

NPI1629054002

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameAMY S KAVADLOCredential: LICSW

Location Address1093 N MAIN STRandolph, MA 02368-2100

Mailing Address1093 N Main StRandolph, MA 02368-2100 · (781) 963-7775 · Fax (781) 963-7776

Phone(781) 963-7775

Fax(781) 963-7776

Sole ProprietorYes

Medical School CMSOtherGraduated 1979

Enumeration DateDecember 19, 2005

Last NPPES UpdateFebruary 1, 2012

✔ NPI 1629054002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in MA · 104863

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

1093 N MAIN ST, Randolph, MA 02368

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Other Identifiers 1

Medicare ID-Type UnspecifiedP04679MA

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

Amy S Kavadlo 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 ID5698791697

PECOS Enrollment IDI20051019000602

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.

Other Providers at the Same Location NPPES 14

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

CARMEL M KELLY MD

Family Medicine