Individual provider Active NPI

William Clarke Maronn, LICSW

  • Clinical Social Worker
  • Lexington, MA
National Provider Identifier
1003617119
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LICSW1140764 Issued in MA
Practice address
76 Bedford St Ste 22
Lexington, MA 02420-4641
Phone
(617) 866-0810
NPI assigned
Mar 24, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LICSW1140764 MA Primary

Addresses

Primary practice location

76 Bedford St Ste 22
Lexington, MA 02420-4641

Mailing address

76 Bedford St Ste 22
Lexington, MA 02420-4641
Phone (617) 866-0810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251001004212 MA Practitioner - Clinical Social Worker 9335645068 Practice locations: Lexington, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

181 S Great Rd
Lincoln, MA 01773-4112

76 Bedford St
Suite 22
Lexington, MA 02420-4641
Phone (617) 866-0810

76 Bedford St
Suite 22
Lexington, MA 02420-4684

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LICSW1140764MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bill Maronn Licsw CurrentSince Aug 10, 2025 Accepting new patients

Locations

76 Bedford St
Ste 22
Lexington, MA 02420
Phone (617) 866-0810

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1742774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1003617119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 BEDFORD ST STE 22",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024204641",
            "telephone_number": "617-866-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 BEDFORD ST STE 22",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024204641",
            "telephone_number": "617-866-0810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARONN",
        "first_name": "WILLIAM",
        "middle_name": "CLARKE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-24",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW1140764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MA

Sources for this page

Verify at the official NPI Registry.