Individual provider Active NPI

Maria Alisa Blum, LICSW

  • Clinical Social Worker
  • Arlington, MA
National Provider Identifier
1316274855
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LICSW123958 Issued in MA
Practice address
12 Newton Rd # 2
Arlington, MA 02474-3210
Phone
(617) 545-4943
NPI assigned
Nov 4, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LICSW123958 MA Primary

Addresses

Primary practice location

12 Newton Rd # 2
Arlington, MA 02474-3210

Mailing address

12 Newton Rd # 2
Arlington, MA 02474-3210
Phone (617) 545-4943

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
I20240916000645 MA Practitioner - Clinical Social Worker 0547701757 Reassigns benefits to 1 organization
Practice locations: Arlington, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

12 Newton Rd
Suite 2
Arlington, MA 02474-3210
Phone (617) 545-4943

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LICSW123958MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Maria a Blum, Licsw PLLC Clinical CurrentSince Nov 30, 2025 Accepting new patients

Locations

1337 Massachusetts Ave
Arlington, MA 02476
Phone (617) 286-2898

Organizations & group practices 1

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": "1257292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1316274855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 NEWTON RD # 2",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024743210",
            "telephone_number": "617-545-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 NEWTON RD # 2",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024743210",
            "telephone_number": "617-545-4943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUM",
        "first_name": "MARIA",
        "middle_name": "ALISA",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-04",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW123958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, MA

Sources for this page

Verify at the official NPI Registry.