Beth Amy Mayer, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

105954 Issued in MA

Practice address

56 Westover St
West Roxbury, MA 02132-1342

Phone

(617) 325-1013

NPI assigned

Feb 6, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Dec 20, 2015 through Dec 20, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417097015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 WESTOVER ST",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021321342",
            "telephone_number": "617-325-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 WESTOVER ST",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021321342",
            "telephone_number": "617-325-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYER",
        "first_name": "BETH",
        "middle_name": "AMY",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "105954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Francis Mastriano, MS, SLP
• Summer Ann Mattera, PA-C
• Megan Matthew
• Ingrid Elise Mattson-Charnley, PH.D.
• Connor Jeffrey Maxim
• Barbara Jean McCollough
• Tanya Noel McCord, M.ED.
• Eileen Frances McCormack, NP
• Deirdre Marie McCue, RRT
• Amy McDonough, PHARMD

• Clinical Social Worker in West Roxbury, MA
• Providers in West Roxbury, 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 Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.