Organization Active NPI

Madeline Liakos, Licsw, LLC

  • Adult Mental Health Clinic/Center
  • Belmont, MA
National Provider Identifier
1174392229
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
MADELINE LIAKOS, LICSW, LLC
Practice address
5 Watson Rd Ste 206
Belmont, MA 02478-3900
Phone
(617) 548-8120
NPI assigned
Dec 29, 2023
Last updated
Dec 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Authorized official

Name
Madeline Liakos, LICSWNPI 1154932861
Title
Owner/Provider
Phone
(617) 548-8120

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

5 Watson Rd Ste 206
Belmont, MA 02478-3900

Mailing address

38 Hayes St # 1
Arlington, MA 02474-2316
Phone (617) 548-8120

National Provider Directory

National Provider Directory

Locations

5 Watson Rd
Ste 206
Belmont, MA 02478
Phone (617) 489-1521

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1703808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703808000000",
    "number": "1174392229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 HAYES ST # 1",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024742316",
            "telephone_number": "617-548-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 WATSON RD STE 206",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024783900",
            "telephone_number": "617-548-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADELINE LIAKOS, LICSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-29",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A",
        "authorized_official_last_name": "LIAKOS",
        "authorized_official_first_name": "MADELINE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "617-548-8120",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.