Tedra Hall, LICSW
NPI 1700469087 · Clinical Social Worker · Jamaica Plain, MA
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tedra Hall, LICSW is a Clinical Social Worker provider in Jamaica Plain, MA (NPI 1700469087).
Provider details
- NPI number
- 1700469087
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- License
- 128606 (MA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 11 River StWellesley, MA 02481-2017Phone: (781) 431-1177
Registry dates
- Enumerated
- 2021-05-04
- Last updated
- 2025-12-04
- Certified
- 2025-12-04
Frequently asked questions
- What is Tedra Hall's NPI number?
- Tedra Hall's National Provider Identifier (NPI) is 1700469087, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tedra Hall's specialty?
- Tedra Hall is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Tedra Hall located?
- Tedra Hall's practice location on file with NPPES is 11 Green St, Jamaica Plain, MA 02130-2588.
- What is Tedra Hall's phone number?
- The practice phone number listed in the NPPES registry for Tedra Hall is (800) 764-4806.
- Does Tedra Hall accept Medicare?
- Tedra Hall is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tedra Hall's NPI active?
- Yes — Tedra Hall's NPI (1700469087) is active in the NPPES registry as of the last update on 2025-12-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.