Individual provider Active NPI

Nicole Perez Elias, LCSW

  • Clinical Social Worker
  • Waltham, MA
National Provider Identifier
1114634870
Registry record updated Feb 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
128389 Issued in MA
Practice address
281 Winter St Ste 340
Suite 340
Waltham, MA 02451-8766
Phone
(617) 405-5735
NPI assigned
Nov 2, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2026

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 128389 MA Primary

Addresses

Primary practice location

281 Winter St Ste 340
Suite 340
Waltham, MA 02451-8766

Mailing address

281 Winter St Ste 340
Waltham, MA 02451-8766
Phone (617) 405-5735

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL unknown Health Information Exchange (HIE)

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
I20250404000458 MA Practitioner - Clinical Social Worker 4880118470 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Empowered Change PLLCGroup PAC ID 8628507282, 5 clinicians
Child and Family Psychological Services PLLCGroup PAC ID 5991763823, 260 clinicians

Practice addresses (Care Compare)

1515 Hancock St
Suite 306
Quincy, MA 02169-5244
Phone (617) 404-3621

281 Winter St
Suite 340
Waltham, MA 02451-8760
Phone (781) 646-0500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
128389MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Child and Family Psychological Services, PLLC Clinical CurrentSince Mar 1, 2025 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

89 Access Rd
Ste 24
Norwood, MA 02062
Phone (781) 336-5040

2300 Crown Colony Dr
Ste 202
Quincy, MA 02169
Phone (617) 405-5735

281 Winter St
Ste 340
Waltham, MA 02451
Phone (508) 996-3154

Organizations & group practices 2

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": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771113600000",
    "number": "1114634870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 WINTER ST STE 340",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024518766",
            "telephone_number": "617-405-5735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 WINTER ST STE 340",
            "address_2": "SUITE 340",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024518766",
            "telephone_number": "617-405-5735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ ELIAS",
        "first_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-02",
        "last_updated": "2026-02-15",
        "certification_date": "2026-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "128389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "unknown",
            "affiliation": "N",
            "endpointDescription": "unknown",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "281 Winter St Ste 340",
            "city": "Waltham",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024518766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

Verify at the official NPI Registry.