LUCIANA M QUINTANILHA LICSW
NPI 1871011429
Social Worker - Clinical in Somerville, MA

Active since September 05, 2017PECOS EnrolledAccepts Medicare Assignment
86.26/100
CMS Quality Rating
50 EVERGREEN AVE, SOMERVILLE, MA 02145(617) 625-6600(617) 625-6600 Get Directions Write a Review

NPPES record last updated: April 12, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Luciana M Quintanilha Licsw NPPES

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

LUCIANA M QUINTANILHA LICSW (NPI 1871011429) is an individual clinical provider in Somerville, Massachusetts, licensed in Massachusetts (222218) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1871011429
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLUCIANA M QUINTANILHACredential: LICSW
Location Address50 EVERGREEN AVESomerville, MA 02145-2819
Mailing Address50 Evergreen AveSomerville, MA 02145 · (617) 625-6600
Fax(617) 625-6600
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 5, 2017
Last NPPES UpdateApril 12, 2021
NPPES CertifiedApril 12, 2021
✔ NPI 1871011429 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 · 222218
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.
50 EVERGREEN AVE, Somerville, MA 02145

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Luciana M Quintanilha 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 ID42615726
PECOS Enrollment IDI20210818001448
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 Reassignments

2

Medicare enrollment records show Luciana Quintanilha reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
1493 CAMBRIDGE ST
Cambridge, MA 02139
  • Reassigned Medicare billing, Massachusetts enrollment
  • 362 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
389 MAIN ST STE 301
Malden, MA 02148
  • Reassigned Medicare billing, Massachusetts enrollment
  • 3 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02145 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.

86.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.84
Promoting Interoperability100
Improvement Activities40
Cost58.7

Other Providers at the Same Location NPPES 3

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

Social Worker (Clinical)
50 EVERGREEN AVE
SOMERVILLE, MA 02145
Registered Nurse
50 EVERGREEN AVE
SOMERVILLE, MA 02145
Public Health or Welfare
50 EVERGREEN AVE, CITY HALL ANNEX, HEALTH DEPT.
SOMERVILLE, MA 02145

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 Luciana Quintanilha's NPI number?

The NPI number for Luciana Quintanilha is 1871011429. It was assigned to this individual provider in the NPPES registry on September 5, 2017.

Where is Luciana Quintanilha located?

Luciana Quintanilha practices at 50 Evergreen Ave, Somerville, MA 02145. The listed phone number is (617) 625-6600.

What is Luciana Quintanilha's specialty?

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

Is Luciana Quintanilha enrolled in Medicare?

Yes. Luciana Quintanilha 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.

Which organizations bill Medicare for Luciana Quintanilha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Luciana Quintanilha reassigns Medicare benefits to 2 organizations: Cambridge Public Health Commission (Cambridge, MA) and Embrace Pathways To Wellness LLC (Malden, MA). Each 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 Luciana Quintanilha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Luciana Quintanilha accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Luciana Quintanilha 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 Luciana Quintanilha was last updated on April 12, 2021. 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.