Paul Sawyer Jr., LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

121396 Issued in MA

Practice address

383 Elliot St Ste 100
Newton Upper Falls, MA 02464-1126

Phone

(508) 404-8467

NPI assigned

May 1, 2015

Sex

Male

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

Opted out of Medicare

Yes, effective Jul 27, 2020 through Jul 27, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Sawyer Wellness Group

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Newton Highlands, MA
  • NPI 1780202291
  NPD Authorized official

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

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1073990792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 LINCOLN ST STE 3",
            "city": "NEWTON HIGHLANDS",
            "state": "MA",
            "postal_code": "024611561",
            "telephone_number": "508-404-8467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "383 ELLIOT ST STE 100",
            "city": "NEWTON UPPER FALLS",
            "state": "MA",
            "postal_code": "024641126",
            "telephone_number": "508-404-8467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWYER",
        "first_name": "PAUL",
        "name_suffix": "Jr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-01",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MA",
            "license": "S69842832",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "121396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meagan Randall
• Riser and Tread, LLC
• Christie Lyn Robbins
• Alyssa Rourk
• Sarah Russell, M.S. CCC-SLP
• Diana Scampoli
• Aanya Sehgal
• Mackenzie Shibel, LMT
• Kaitlyn Simonds, BCBA, LABA, MS
• Stone Institute and Newton Home for Aged People

• Clinical Social Worker in Newton Upper Falls, MA
• Providers in Newton Upper Falls, 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 Apr 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.