Ellen B Hermanos, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

110741 Issued in MA

Practice address

11 Oak St Unit 64
Wellesley, MA 02482-4735

Phone

(774) 520-0236

NPI assigned

Dec 20, 2006

Sex

Female

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

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1164586459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 OAK ST UNIT 64",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024824735",
            "telephone_number": "774-520-0236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 OAK ST UNIT 64",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024824735",
            "telephone_number": "774-520-0236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMANOS",
        "first_name": "ELLEN",
        "middle_name": "B",
        "name_prefix": "Miss",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "110741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather O. Davidson, MD, LLC
• Brenda Hellmann, NP
• Marjorie Helman
• Morgan Henry, OTD, OTR/L, CAS
• Robert a H Herman, M.D.
• Rachel Herschenfeld, MD
• Kelliann Hess, M.D.
• Patricia Lynne Hickey, ATC, LAT
• Victoria Hicks
• Carmel Higgins, LICSW

• Clinical Social Worker in Wellesley, MA
• Providers in Wellesley, 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 May 23, 2022; 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.