Marcy Wynne West, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

116711 Issued in MA

Practice address

431 River St Ste 1
Waltham, MA 02453-5483

Phone

(781) 966-5697

Fax

(781) 338-2217

NPI assigned

Sep 23, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1073847026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 RIVER ST STE 1",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024535483",
            "telephone_number": "781-966-5697",
            "fax_number": "781-338-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 RIVER ST STE 1",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024535483",
            "telephone_number": "781-966-5697",
            "fax_number": "781-338-2217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "MARCY",
        "middle_name": "WYNNE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-23",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "116711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Christine Wertz
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• Christian Joseph Wesolowski
• Jenna Lee Wessels
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• Erika Stewart Wheelhouse, M.A., LMHC
• Allison Suzanne White, LICSW
• Laura White, NP
• Paul White
• Shelby White

• Clinical Social Worker in Waltham, MA
• Providers in Waltham, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.