MRS. LISA MARIE VENDETTI (LICSW) – Clinical Social Worker, NPI 1699928978

MRS. LISA MARIE VENDETTI (LICSW) is a healthcare provider. based in Ashland, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 114012 (MA). The NPI Number for MRS. LISA MARIE VENDETTI (LICSW) is 1699928978

Main info

Female
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
MRS. LISA MARIE VENDETTI (LICSW)
NPI
1699928978
Phone
(774) 412-3306
Address
13 LANDS END WAY
Enumeration Date
30 October 2008
Last Update Date
10 November 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5085895333
Graduation Year
2004 (22 years ago)
PAC ID
8022381193
Group Practice PAC ID
7517238959
Professional Enrollment ID
I20171011001406
Address ID
MA017028172FR1XXXXHLXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

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Provider Addresses for MRS. LISA MARIE VENDETTI (LICSW)

  • 13, Lands End Way, Ashland, Middlesex County, Massachusetts, 01721, United States

    ASHLAND, MA 01721

    Phone: (774) 412-3306

    Type: Mailing

  • Hopkinton High School, 90, Hayden Rowe Street, Hayden Row, Hopkinton, Middlesex County, Massachusetts, 01748, United States

    HOPKINTON, MA 01748

    Phone: (774) 412-3306

    Type: Location

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: 2017-10-11

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
I20171011001406IClinical 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour20524$0
90791Psychiatric diagnostic evaluation1815$0
View full utilization report →

Insurance plans in this area (ZIP 01721)

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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: 7517238959View full group profile
NameSpecialtyState
Clinical Social WorkerMA
Clinical Social WorkerMA
-CO
Mental Health CounselorMA
Nurse PractitionerMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

What number should I use to identify MRS. LISA MARIE VENDETTI (LICSW) for billing?
Administrative and clinical systems typically use NPI 1699928978 for MRS. LISA MARIE VENDETTI (LICSW).
Quick check: is MRS. LISA MARIE VENDETTI (LICSW) active?
Public NPPES data shows MRS. LISA MARIE VENDETTI (LICSW) with an active NPI status right now.
What does the directory say MRS. LISA MARIE VENDETTI (LICSW) does?
Insurance directories may phrase it differently, but here MRS. LISA MARIE VENDETTI (LICSW) maps to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Which community is linked to MRS. LISA MARIE VENDETTI (LICSW)?
MRS. LISA MARIE VENDETTI (LICSW) shows a connection to Ashland, Massachusetts in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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