SANDRA A CHIANCOLA (LICSW) – Social Worker, NPI 1104958990

SANDRA A CHIANCOLA (LICSW) is a healthcare provider. based in Worcester, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 110096 (MA). The NPI Number for SANDRA A CHIANCOLA (LICSW) is 1104958990

Main info

Female
30 Years Of Experience
Name
SANDRA A CHIANCOLA (LICSW)
NPI
1104958990
Phone
(508) 854-0642
Address
6 MELVILLE STREET
Enumeration Date
9 March 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5087913677
Graduation Year
1996 (30 years ago)
PAC ID
3577588789
Group Practice PAC ID
9537472642
Professional Enrollment ID
I20051006000868
Address ID
MA016051223WO397XXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

Provider Addresses for SANDRA A CHIANCOLA (LICSW)

  • 6 MELVILLE STREET

    WORCESTER, MA 01605

    Phone: (508) 854-0642

    Fax: (508) 865-6059

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-10-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051006000868IClinical Social WorkerMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01605)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537472642View full group profile
NameSpecialtyState
-MD
Mental Health CounselorMA
Clinical PsychologistRI
-MA
Clinical PsychologistMA
Marriage And Family TherapistMA

Reviews

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Frequently asked questions

Is there an official ID for SANDRA A CHIANCOLA (LICSW) in U.S. healthcare records?
The official identifier for SANDRA A CHIANCOLA (LICSW) is NPI 1104958990.
Active or inactive — what applies to SANDRA A CHIANCOLA (LICSW)?
You should see SANDRA A CHIANCOLA (LICSW) as active in CMS-hosted NPPES data.
What area of care is associated with SANDRA A CHIANCOLA (LICSW)?
SANDRA A CHIANCOLA (LICSW)'s record emphasizes Social Worker. Clinical services aligned with this taxonomy classification.
Is SANDRA A CHIANCOLA (LICSW) associated with Worcester?
Public fields place SANDRA A CHIANCOLA (LICSW) around Worcester, Massachusetts. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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