Marryem Vahidy, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LICSW122514 Issued in MA

Practice address

190 Lenox St
Norwood, MA 02062-3416

Phone

(781) 769-8670

NPI assigned

Apr 4, 2016

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

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

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 and National Provider Directory roles.

• Optum Behavioral Care of Connecticut, P.C.

  • Counseling Psychologist
  • Newburyport, MA
  • NPI 1831970904
  Medicare reassignment NPD
• Optum Behavioral Care of Connecticut, P.C.

  • Clinical Social Worker
  • Providence, RI
  • NPI 1730972944
  NPD
• Optum Behavioral Care of Connecticut, P.C.

  • Counseling Psychologist
  • Woburn, MA
  • NPI 1205617370
  NPD (past)

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1336502566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312R BAY RD",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023562636",
            "telephone_number": "860-798-9865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 LENOX ST",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623416",
            "telephone_number": "781-769-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAHIDY",
        "first_name": "MARRYEM",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-04",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW122514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patience U Ugochukwu, RN
• Lawrence C Unger, M.D.
• Uzoma Care Corporation (Home Instead Senior Care)
• Ashley Nicole Vachon, MSW, LICSW
• John Andrew Vacovec, PT
• George Arthur Vaida, M.D.
• Elizabeth T Vail, LEP
• Waitta Kamara Vainga
• Sarah Van Saun, R.N.
• Laura Jean Vanwort-Meng, PSY.D.

• Clinical Social Worker in Norwood, MA
• Providers in Norwood, 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 Jul 16, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.