Paul Alie, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

103027 Issued in MA

Practice address

1093 Beacon St
Ste 104
Brookline, MA 02446-5623

Phone

(617) 277-4238

NPI assigned

Oct 21, 2005

Last updated

Sep 29, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 26, 2023 through Oct 26, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506643200000",
    "number": "1396735213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 ALGONQUIN RD",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024671002",
            "telephone_number": "617-965-0236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1093 BEACON ST",
            "address_2": "STE 104",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465623",
            "telephone_number": "617-277-4238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALIE",
        "first_name": "PAUL",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2017-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "103027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMA PROVIDER NUMBER",
            "identifier": "P02034",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Ann Albert, LICSW
• Roxana Albut Sahlean, M.ED., L.M.H.C.
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• Diab Ali, MD
• Alice M Shin, MD, PLLC
• Align Healthcare, PLLC (Align Healthcare)
• All Home Care Inc
• Cyntavia Allen
• Paul D Allen, MD PHD
• McKenna Lyn Allred

• Clinical Social Worker in Brookline, MA
• Providers in Brookline, 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 Sep 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.