Individual provider Active NPI

Lisa Rukhsana Ahmed, MSW, LICSW

  • Clinical Social Worker
  • Walpole, MA
National Provider Identifier
1295710549
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1027724 Issued in MA
Practice address
841 Main Street, LL2
Colony Care Behavioral Health
Walpole, MA 02081
Phone
(508) 660-6699
Fax
(508) 660-6658
NPI assigned
Dec 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 1027724 MA Primary

Addresses

Primary practice location

841 Main Street, LL2
Colony Care Behavioral Health
Walpole, MA 02081

Mailing address

841 Main St
LL2
Walpole, MA 02081-2997
Phone (508) 660-6699

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050802000404 MA Practitioner - Clinical Social Worker 4082642905 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4 Oak St
Suite 2
Needham, MA 02492-2462
Phone (781) 400-1143

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa R. Ahmed, Licsw, LLC CurrentSince Mar 23, 2022 Accepting new patients
Walpole Behavioral Healthcare CurrentSince Dec 1, 2011 Accepting new patients
Walpole Behavioral Healthcare, LLC Clinical CurrentSince May 30, 2017 Accepting new patients
Colony Care Inc Past Accepting new patients

Locations

4 Oak St
Ste 2
Needham, MA 02492
Phone (781) 400-1143

841 Main St
Ste 2
Walpole, MA 02081
Phone (508) 660-6699

841 Main St
Walpole, MA 02081
Phone (508) 660-2900

55 West St
Ste 201
Walpole, MA 02081
Phone (508) 660-6053

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1295710549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 MAIN ST",
            "address_2": "LL2",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020812997",
            "telephone_number": "508-660-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 MAIN STREET, LL2",
            "address_2": "COLONY CARE BEHAVIORAL HEALTH",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "02081",
            "telephone_number": "508-660-6699",
            "fax_number": "508-660-6658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "LISA",
        "middle_name": "RUKHSANA",
        "name_prefix": "Ms.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1027724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walpole, MA

Sources for this page

Verify at the official NPI Registry.