Andrea Piraino Stidsen, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

105625 Issued in MA

Practice address

175 Cambridge St Ste 320
Boston, MA 02114-2744

Phone

(617) 726-6976

Fax

(617) 726-5941

NPI assigned

Aug 22, 2018

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534896000000",
    "number": "1295216968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 CANTERBURY ST",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018102803",
            "telephone_number": "617-549-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 CAMBRIDGE ST STE 320",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142744",
            "telephone_number": "617-726-6976",
            "fax_number": "617-726-5941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIDSEN",
        "first_name": "ANDREA",
        "middle_name": "PIRAINO",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-22",
        "last_updated": "2018-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "105625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Stewart
• Zachary Elijah Stewart, M.D.
• Sylwia Steyer-Garmendia, MS,RD,LDN
• Jackeline Ines Stichel
• Carolyn A Stickney, MD
• Daniel B Stiefel, D.M.D.
• Elizabeth A Stier, MD
• Bryan Stierman, MD
• Kathryn Stiff, NP
• Kathleen Tope Stiffler, CPNP

• 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 Aug 22, 2018; 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.