Aviva L List, LICSW in Stoughton, MA - Medicare Social Worker Provider

Aviva L List, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Stoughton, Massachusetts. Her current practice location is 450 Pearl St Ste 3, Stoughton, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (646) 645-4680.

Aviva L List is licensed to practice in Massachusetts (license number 120351) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1710461124.

Contact Information

	Aviva L List, LICSW
	450 Pearl St Ste 3, Stoughton, MA 02072-1617
	(646) 645-4680
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Aviva L List
Gender	Female
Speciality	Social Worker - Clinical
Location	450 Pearl St Ste 3, Stoughton, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710461124
Provider Enumeration Date: 09/21/2018
Last Update Date: 09/30/2024

Medicare PECOS Information:

PECOS PAC ID: 9931641826
Enrollment ID: I20240606002681

Medical Identifiers

Medical identifiers for Aviva L List such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710461124	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	120351 (Massachusetts)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Aviva L List allows following entities to bill medicare on her behalf.

Entity Name	Abelard Psychotherapy Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215295597 PECOS PAC ID: 4385059104 Enrollment ID: O20210209000074

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Aviva L List is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Aviva L List, LICSW 9 Emerson Rd, Wellesley, MA 02481-3401 Ph: (646) 645-4680	Aviva L List, LICSW 450 Pearl St Ste 3, Stoughton, MA 02072-1617 Ph: (646) 645-4680

Reviews and Comments

Social Worker in Stoughton, MA

Ms. Susan Marydith Graesser, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 36 Walnut Ct, Stoughton, MA 02072 Phone: 781-344-0244
Jo Anne Soshnick, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 378 Page St Ste 6, Stoughton, MA 02072 Phone: 339-364-8080 Fax: 781-436-5829
Charlotte Frances Mccarthy, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 450 Pearl St, Stoughton, MA 02072 Phone: 781-344-0057
Lynne Kathy Mitchell, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 22 Chipman Ln, Stoughton, MA 02072 Phone: 781-344-9645
Mrs. Rina Radding, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 27 Glen St, Suite 14, Stoughton, MA 02072 Phone: 781-784-5778 Fax: 781-341-0420
Nancy M Gibbons, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 966a Park St, Stoughton, MA 02072 Phone: 781-341-0923 Fax: 781-341-0994
Allison Puliafico, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 77 Birchwood Rd, Stoughton, MA 02072 Phone: 508-826-2004

Aviva L List, LICSW - Medicare Clinical Social Worker in Stoughton, MA