Nicholas George Larussa, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

000124267 Issued in MA

Practice address

115 Mill St
Belmont, MA 02478-1048

Phone

(617) 894-1937

NPI assigned

Oct 26, 2021

Last updated

Oct 28, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1114681186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 EXETER ST",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024783648",
            "telephone_number": "617-894-1937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MILL ST",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024781048",
            "telephone_number": "617-894-1937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARUSSA",
        "first_name": "NICHOLAS",
        "middle_name": "GEORGE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-26",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "000124267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Ann Lambert, MSW
• Ruthanne Rita Lamborghini, PT
• Sara E Land, PH.D.
• John H. Lapidus, D.M.D.
• Grant Lapierre, RPH
• Carly Ann Lasagna
• Corina Susanne Laudate, LICSW
• Laura C Simon DMD
• Elizabeth Lawrence, LICSW
• Stephanie L Leblanc

• Clinical Social Worker in Belmont, MA
• Providers in Belmont, 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 Oct 28, 2021; 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.