Active NPI
Cheryl Litt, LICSW BCD
- Clinical Social Worker
- Brockton, MA
National Provider Identifier
1356427264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 103344
- Practice address
- 1350 Belmont St
Ste 107
Brockton, MA 02301-4430 - Phone
- (508) 586-1600
- NPI assigned
- Oct 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 103344 | MA | Primary |
Addresses
Primary practice location
1350 Belmont St
Ste 107
Brockton, MA 02301-4430
Mailing address
1350 Belmont St
Ste 107
Brockton, MA 02301-4430
Phone (508) 586-1600
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 095063 | Other | MHN | |
| 052600000 | Other | MAGELLAN MIS NUMBER | |
| 0004131865 | Other | AETNA | |
| LIP01899 | Other | MA | BCBS |
| 899601 | Other | HARVARD PILGRIM | |
| 780065 | Other | TUFTS | |
| 88040 | Other | CIGNA | |
| 014698 | Other | VALUE OPTIONS | |
| 665712 | Other | TUFTS |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050922000840 | MA | Practitioner - Clinical Social Worker | 6103850763 | Practice locations: Brockton, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1342 Belmont St
Suite 103
Brockton, MA 02301-4437
Phone (508) 586-1600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103344 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356566400000",
"number": "1356427264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 BELMONT ST",
"address_2": "STE 107",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023014430",
"telephone_number": "508-586-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 BELMONT ST",
"address_2": "STE 107",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023014430",
"telephone_number": "508-586-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITT",
"first_name": "CHERYL",
"credential": "LICSW BCD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-31",
"last_updated": "2012-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "103344",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "095063",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN MIS NUMBER",
"identifier": "052600000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0004131865",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "LIP01899",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "899601",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "780065",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "88040",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "014698",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "665712",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.