Individual provider Active NPI

Alison Schroeder, LICSW

  • Clinical Social Worker
  • Bedford, MA
National Provider Identifier
1376705251
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LICSW116001 Issued in MA
Practice address
200 Great Rd Ste 256a
Bedford, MA 01730-2718
Phone
(781) 789-6116
NPI assigned
Jul 1, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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 LICSW116001 MA Primary

Addresses

Primary practice location

200 Great Rd Ste 256a
Bedford, MA 01730-2718

Mailing address

200 Great Rd Ste 256a
Bedford, MA 01730-2718
Phone (781) 789-6116

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LICSW116001MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Coping Clinical CurrentSince Sep 24, 2023 Accepting new patients
Somerville Mental Health Association, Inc. Past Accepting new patients
Somerville Mental Health Association, Inc. Past Accepting new patients

Locations

200 Great Rd
Ste 256A
Bedford, MA 01730
Phone (781) 214-0226

Organizations & group practices 3

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": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1376705251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GREAT RD STE 256A",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017302718",
            "telephone_number": "781-789-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GREAT RD STE 256A",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017302718",
            "telephone_number": "781-789-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "ALISON",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-01",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW116001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.