Individual provider Active NPI

Sky Gavis-Hughson, LCSW

  • Clinical Social Worker
  • Boston, MA
National Provider Identifier
1376231530
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
229322 Issued in MA
Practice address
177 Huntington Ave Floor 14
Boston, MA 02115
Phone
(888) 572-0795
NPI assigned
Apr 26, 2023
Last updated
Jan 22, 2025By the provider in NPPES
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 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 Worker 1041C0700X 229322 MA Primary

Addresses

Primary practice location

177 Huntington Ave Floor 14
Boston, MA 02115

Mailing address

6 Hazelmere Rd
Roslindale, MA 02131-1424

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

State licenses

LicenseStateTypeSpecialty
229322MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
We Rise Collective CurrentSince Jan 26, 2025 Accepting new patients
The Holding Place, LLC Clinical Current Accepting new patients

Locations

177 Huntington Ave
Fl 14
Boston, MA 02115
Phone (888) 572-0795

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": "1682467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1376231530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HAZELMERE RD",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021311424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 HUNTINGTON AVE FLOOR 14",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02115",
            "telephone_number": "888-572-0795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVIS-HUGHSON",
        "first_name": "SKY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "U",
        "enumeration_date": "2023-04-26",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "229322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.