George Luis Soto, LICSW, PSYD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

114564 Issued in MA

Practice address

305 Newbury St
Suite 42
Boston, MA 02115-2833

Phone

(617) 209-9869

NPI assigned

Jan 23, 2007

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

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

Specialty

Clinical Social Worker

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

President and Fellows of Harvard CollegeGroup PAC ID 2062303894, 94 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• President & Fellows of Harvard College

  dba Harvard University Health Services

  • Multi-Specialty Clinic/Center
  • Cambridge, MA
  • NPI 1952366312
  Medicare reassignment Care Compare group NPD
• President and Fellows of Harvard College

  dba Harvard Dental Center TP

  • General Practice Dentistry
  • Boston, MA
  • NPI 1972761807
  NPD
• Child and Family Psychological Services, PLLC

  dba LifeStance Health

  • Psychologist
  • Norwood, MA
  • NPI 1912987181

  Clinical

  NPD (past)
• Psychological Associates of Southeastern Massachusetts, LLC

  • Clinical Psychologist
  • North Easton, MA
  • NPI 1326052317
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430784000000",
    "number": "1225182587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 NEWBURY ST",
            "address_2": "SUITE 42",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021152833",
            "telephone_number": "617-209-9869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 NEWBURY ST",
            "address_2": "SUITE 42",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021152833",
            "telephone_number": "617-209-9869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO",
        "first_name": "GEORGE",
        "middle_name": "LUIS",
        "name_prefix": "Mr.",
        "credential": "LICSW, PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2015-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "114564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivan A Soto-Arape, M.D.
• Marianela Soto-Hurtado
• Carmen Laura Soto-Rivera, M.D.
• Ceol Miguel Soto
• Diana Marcela Soto
• Jorge A Soto, MD
• Marquise Soto
• Blanca Stella Sotomayor, DMD
• Brian Sou, MD
• Olivia Renee Soudry, MD

• Clinical Social Worker in Boston, MA
• Providers in Boston, 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 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.