Miss Laura Dicienzo, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Leominster, Massachusetts. Her current practice location is
80 Erdman Way, Leominster, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(978) 870-1840.
Miss Laura Dicienzo is licensed to practice in Massachusetts (license number 123587) 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 1316329337.
Healthcare Provider's Profile
Full Name | Miss Laura Dicienzo |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 80 Erdman Way, Leominster, Massachusetts |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1316329337
- Provider Enumeration Date: 06/25/2015
- Last Update Date: 09/17/2021
Medicare PECOS Information:
- PECOS PAC ID: 0244628741
- Enrollment ID: I20211103000867
Medical Identifiers
Medical identifiers for Miss Laura Dicienzo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316329337 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 123587 (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. Miss Laura Dicienzo allows following entities to bill medicare on her behalf.
Entity Name | Child And Family Psychological Services Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1912987181 PECOS PAC ID: 5991763823 Enrollment ID: O20041227000004 |
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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. Miss Laura Dicienzo 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 |
Miss Laura Dicienzo, LICSW 80 Erdman Way, Leominster, MA 01453-1840 Ph: () - | Miss Laura Dicienzo, LICSW 80 Erdman Way, Leominster, MA 01453-1840 Ph: (978) 870-1840 |
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