OrganizationActive
Commonwealth of Massachusetts
NPI 1003039322 · Case Management Agency · Worcester, MA
Provider details
- NPI number
- 1003039322
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Parent organization
- Commonwealth of Massachusetts
- Organization subpart
- Yes
- Authorized official
- Dylan Lattimore, Deputy Commissioner for Administrat(857) 408-0675
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
324 R Clark Street
Worcester, MA 01606
Phone: (508) 792-6200
Street-level locationGet directions
Mailing address
40th Broad Street
Boston, MA 02109
Other names (DBA / former)
- Doing business as
- DDS Worcester Area Office
- Doing business as
- Worcester Area Office Cm
Registry dates
- Enumerated
- 2007-04-11
- Last updated
- 2026-03-19
- Certified
- 2026-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.