SAMUEL P CHIANCOLA (LICSW) – Social Worker, NPI 1871617035

SAMUEL P CHIANCOLA (LICSW) is a healthcare provider. based in Sutton, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 01355 (MA). The NPI Number for SAMUEL P CHIANCOLA (LICSW) is 1871617035

Main info

Male
56 Years Of Experience
Accepts Medicare Assignment
Name
SAMUEL P CHIANCOLA (LICSW)
NPI
1871617035
Phone
(508) 865-6059
Address
20 OLD MILL RD
Enumeration Date
16 March 2007
Last Update Date
11 October 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5088656059
Graduation Year
1970 (56 years ago)
PAC ID
2264683184
Professional Enrollment ID
I20121127000000
Address ID
MA015901128SU20XXXRDXX400
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 SAMUEL P CHIANCOLA (LICSW)

  • 20 OLD MILL RD

    SUTTON, MA 01590

    Phone: (508) 865-6059

    Fax: (508) 865-6059

    Type: Mailing

  • 260 MAIN ST

    MILFORD, MA 01757

    Phone: (508) 473-4674

    Fax: (508) 865-6059

    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: 2012-11-27

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
I20121127000000IClinical 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 01590)

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Reviews

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Frequently asked questions

What is the registry number for SAMUEL P CHIANCOLA (LICSW)?
The registry entry for SAMUEL P CHIANCOLA (LICSW) shows NPI 1871617035.
Does the public listing show SAMUEL P CHIANCOLA (LICSW) as active?
SAMUEL P CHIANCOLA (LICSW)'s NPI record reflects an active status in NPPES.
What does the directory say SAMUEL P CHIANCOLA (LICSW) does?
Insurance directories may phrase it differently, but here SAMUEL P CHIANCOLA (LICSW) maps to Social Worker. Clinical services aligned with this taxonomy classification.
Is SAMUEL P CHIANCOLA (LICSW) tied to Sutton, Massachusetts?
If you are local to Sutton, Massachusetts, SAMUEL P CHIANCOLA (LICSW) may be relevant to your search.
Who maintains SAMUEL P CHIANCOLA (LICSW)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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