Active NPI
Mariana Sanford Maynard, LICSW
- Clinical Social Worker
- Needham, MA
National Provider Identifier
1447509674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LICSW120817
- Practice address
- 220 Reservoir St
Needham, MA 02494-3149 - Phone
- (781) 429-7755
- NPI assigned
- Sep 4, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 218003 | MA | |
| Clinical Social Worker | 1041C0700X | LICSW120817 | MA | Primary |
Addresses
Primary practice location
220 Reservoir St
Needham, MA 02494-3149
Mailing address
27 Dane St
Jamaica Plain, MA 02130-2731
Phone (617) 522-3230
Other practice location 1
700 Massachusetts Ave Fl 3
Cambridge, MA 02139-3345
Phone (888) 500-2067
Other practice location 2
61 Medford St
Somerville, MA 02143-3421
Phone (617) 629-3913
Medicare participation
Medicare enrollment files- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cartwheel Health Services PC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Child & Adolescent Psychiatry Physician
- Cambridge, MA
- NPI 1912633975
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785196800000",
"number": "1447509674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 DANE ST",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "021302731",
"telephone_number": "617-522-3230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 RESERVOIR ST",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024943149",
"telephone_number": "781-429-7755"
}
],
"practiceLocations": [
{
"address_1": "700 Massachusetts Ave Fl 3",
"address_purpose": "LOCATION",
"city": "Cambridge",
"state": "MA",
"postal_code": "021393345",
"country_code": "US",
"telephone_number": "888-500-2067",
"fax_number": "617-649-8520",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "61 Medford St",
"address_purpose": "LOCATION",
"city": "Somerville",
"state": "MA",
"postal_code": "021433421",
"country_code": "US",
"telephone_number": "617-629-3913",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANFORD MAYNARD",
"first_name": "MARIANA",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-04",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "218003",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "LICSW120817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Needham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.