Individual provider Active NPI

Laurie Bingham Sherwood, M.S.S.A. (M.S.W.)

  • Clinical Social Worker
  • Newton Centre, MA
National Provider Identifier
1225174675
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
101009 Issued in MA
Practice address
23 Pleasant St
Newton Centre, MA 02459-1836
Phone
(781) 559-8107
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 101009 MA Primary

Addresses

Primary practice location

23 Pleasant St
Newton Centre, MA 02459-1836

Mailing address

23 Pleasant St
Newton Centre, MA 02459-1836
Phone (781) 559-8107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 15, 2025 through Jul 15, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
101009MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225174675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 PLEASANT ST",
            "city": "NEWTON CENTRE",
            "state": "MA",
            "postal_code": "024591836",
            "telephone_number": "781-559-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 PLEASANT ST",
            "city": "NEWTON CENTRE",
            "state": "MA",
            "postal_code": "024591836",
            "telephone_number": "781-559-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERWOOD",
        "first_name": "LAURIE",
        "middle_name": "BINGHAM",
        "name_prefix": "Ms.",
        "credential": "M.S.S.A. (M.S.W.)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "101009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton Centre, MA

Sources for this page

Verify at the official NPI Registry.