TEDRA LYNN HALL LICSW
NPI 1700469087
Social Worker - Clinical in Jamaica Plain, MA
About Tedra Lynn Hall Licsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TEDRA LYNN HALL LICSW (NPI 1700469087) is an individual clinical provider in Jamaica Plain, Massachusetts, licensed in Massachusetts (128606) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Wellesley, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Accepted 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
Tedra Lynn Hall 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02130 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JAMAICA PLAIN, MA 02130
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 Tedra Hall's NPI number?
The NPI number for Tedra Hall is 1700469087. It was assigned to this individual provider in the NPPES registry on May 4, 2021. The provider is also known as Tedra Halzel.
Where is Tedra Hall located?
Tedra Hall practices at 11 Green St, Jamaica Plain, MA 02130. The listed phone number is (800) 764-4806.
What is Tedra Hall's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Tedra Hall enrolled in Medicare?
Yes. Tedra Hall 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 Tedra Hall accept?
Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Tedra Hall 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 Tedra Hall was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Tedra Lynn Hall, LICSW · NPI 1700469087
Clinical provider in Jamaica Plain, Massachusetts. Individual provider, active in the CMS NPPES registry since May 4, 2021.
## Identity
- **NPI:** 1700469087 (Entity type: Individual)
- **Enumerated:** May 4, 2021
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 128606 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 11 GREEN ST, Jamaica Plain, MA 02130-2588
- **Phone:** (800) 764-4806
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** December 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1700469087) · Data from the CMS NPPES public registry.