MEGAN LISSANDRELLO – Clinical Social Worker, NPI 1871039693

MEGAN LISSANDRELLO is a healthcare provider. based in Newtonville, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 121713 (MA). The NPI Number for MEGAN LISSANDRELLO is 1871039693

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
MEGAN LISSANDRELLO
NPI
1871039693
Phone
(617) 752-7515
Address
288 WALNUT ST
Enumeration Date
18 January 2017
Last Update Date
19 June 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6175581881
Graduation Year
2016 (10 years ago)
PAC ID
0941683429
Group Practice PAC ID
8628408697
Professional Enrollment ID
I20220816002204
Address ID
MA024592400NE1320XSTXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

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Provider Addresses for MEGAN LISSANDRELLO

  • 288, Walnut Street, Newtonville, Newton, Middlesex County, Massachusetts, 02460, United States

    NEWTONVILLE, MA 024601948

    Phone: (617) 752-7515

    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: 2022-08-16

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
I20220816002204IClinical 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 02460)

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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: 8628408697View full group profile
NameSpecialtyState
Clinical Social WorkerNH
Mental Health CounselorME

Reviews

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Frequently asked questions

Does MEGAN LISSANDRELLO have a public NPI I can cite?
Public records show MEGAN LISSANDRELLO under NPI 1871039693.
Quick check: is MEGAN LISSANDRELLO active?
Public NPPES data shows MEGAN LISSANDRELLO with an active NPI status right now.
What type of care does MEGAN LISSANDRELLO provide?
MEGAN LISSANDRELLO's profile centers on Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MEGAN LISSANDRELLO?
MEGAN LISSANDRELLO is associated with Newtonville, Massachusetts in the same public data insurers reference.
Why is information missing for MEGAN LISSANDRELLO?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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