Individual provider Active NPI

Aline Penny Zoldbrod, PH.D.

  • Clinical Social Worker
  • Lexington, MA
National Provider Identifier
1306999438
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
102407 LICSW Issued in MA
Practice address
12 Rumford Rd
Lexington, MA 02420-2209
Phone
(781) 863-1877
NPI assigned
Jan 20, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2685 PSYCHOLOGY MA
Clinical Social Worker 1041C0700X 102407 LICSW MA Primary

Addresses

Primary practice location

12 Rumford Rd
Lexington, MA 02420-2209

Mailing address

12 Rumford Rd
Lexington, MA 02420-2209
Phone (781) 863-1877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2685 PSYCHOLOGYMAMDPsychologist
102407 LICSWMAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1169251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1306999438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 RUMFORD RD",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024202209",
            "telephone_number": "781-863-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 RUMFORD RD",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024202209",
            "telephone_number": "781-863-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOLDBROD",
        "first_name": "ALINE",
        "middle_name": "PENNY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-20",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "2685 PSYCHOLOGY",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "102407 LICSW",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.