Raymond Wallace Pillidge, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

111290 Issued in MA

Practice address

10 High St
Andover, MA 01810-3582

Phone

(617) 595-6053

NPI assigned

Dec 14, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260748800000",
    "number": "1427387844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SUMMER ST",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018103619",
            "telephone_number": "617-595-6053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HIGH ST",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018103582",
            "telephone_number": "617-595-6053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILLIDGE",
        "first_name": "RAYMOND",
        "middle_name": "WALLACE",
        "name_prefix": "Mr.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-14",
        "last_updated": "2009-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "111290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phyllis N Spieler MD
• Alicia Picard, PHARMD
• Martha Irene Piesik
• Amy Pietrusewicz
• Linda Piette, RD, LD
• Pinnacle Health Systems LLC
• Elycia Pittsley, LICSW
• Pleasant Valley Caregivers LLC
• Sophie Belle Plotkin
• Andrea B Polonsky, M.D.

• Clinical Social Worker in Andover, MA
• Providers in Andover, 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 Dec 14, 2009; 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.