Individual provider Active NPI

Emily Schneider

  • Clinical Social Worker
  • Arlington, MA
National Provider Identifier
1376080606
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
124221 Issued in MA
Practice address
226 Massachusetts Ave Ste 2a
Arlington, MA 02474-8449
Phone
(617) 977-4770
NPI assigned
Jan 25, 2017
Last updated
Feb 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 11058 NE
Addiction (Substance Use Disorder) Counselor 101YA0400X
Counselor 101Y00000X 7125 NE
Clinical Social Worker 1041C0700X 222842 MA
Clinical Social Worker 1041C0700X 124221 MA Primary

Addresses

Primary practice location

226 Massachusetts Ave Ste 2a
Arlington, MA 02474-8449

Mailing address

226 Massachusetts Ave Ste 2a
Arlington, MA 02474-8449
Phone (617) 977-4770

Other practice location 1

2257 Main St
Springfield, MA 01107-1905
Phone (413) 733-3488 ext. 1231

Other identifiers 1

IdentifierTypeStateIssuer
1376080606MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 5, 2023 through Apr 5, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11058NEMDAddiction (Substance Use Disorder) Counselor
124221MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cambridge Psychology Group, Inc CurrentSince Nov 13, 2022 Accepting new patients
Habit Opco Addiction (Substance Use Disorder) Past Accepting new patients

Locations

226 Massachusetts Ave
Ste 2A
Arlington, MA 02474
Phone (617) 977-4650

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1376080606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 MASSACHUSETTS AVE STE 2A",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024748449",
            "telephone_number": "617-977-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 MASSACHUSETTS AVE STE 2A",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024748449",
            "telephone_number": "617-977-4770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2257 Main St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011071905",
            "country_code": "US",
            "telephone_number": "413-733-3488 x1231",
            "fax_number": "413-731-7381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-25",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "11058",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NE",
            "license": "7125",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "222842",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "124221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376080606",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, MA

Sources for this page

Verify at the official NPI Registry.