Individual provider Active NPI

Nicole Foxe, LICSW

  • Clinical Social Worker
  • Waltham, MA
National Provider Identifier
1477069631
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
120615 Issued in MA
Practice address
43 Foundry Ave
Waltham, MA 02453-8313
Phone
(617) 783-0500
NPI assigned
Dec 22, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 120615 MA Primary

Addresses

Primary practice location

43 Foundry Ave
Waltham, MA 02453-8313

Mailing address

43 Foundry Ave
Waltham, MA 02453-8313
Phone (617) 783-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, GA, SC, CT, NH, RI6 enrollments
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.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20190920002130 MA Practitioner - Clinical Social Worker 7113257924 Reassigns benefits to 2 organizations
I20241216000665 GA Practitioner - Clinical Social Worker 7113257924 Reassigns benefits to 1 organization
I20241231000788 SC Practitioner - Clinical Social Worker 7113257924 Reassigns benefits to 1 organization
I20250122003007 CT Practitioner - Clinical Social Worker 7113257924 Reassigns benefits to 1 organization
I20250205001964 NH Practitioner - Clinical Social Worker 7113257924 Reassigns benefits to 1 organization
I20260408000428 RI Practitioner - Clinical Social Worker 7113257924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Atrius Health, Inc. Clinical Current Accepting new patients
Atrius Health, Inc. Single Specialty CurrentSince Feb 1, 2022 Accepting new patients
Mental Health Specialty Group PA Single Specialty CurrentSince May 12, 2025 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Aug 13, 2024 Accepting new patients
Atrius Health, Inc. Single Specialty CurrentSince Feb 1, 2022 Accepting new patients

Locations

100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964

147 Milk St
Fl 9
Boston, MA 02109
Phone (617) 559-8051

133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000

101 Federal St
Boston, MA 02110
Phone (206) 744-8030

100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389

170 Commerce Way
Ste 200
Portsmouth, NH 03801
Phone (201) 293-7689

170 Meeting St
Ste 110
Charleston, SC 29401
Phone (704) 610-1304

Organizations & group practices 5

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": "1513900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1477069631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 FOUNDRY AVE",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024538313",
            "telephone_number": "617-783-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 FOUNDRY AVE",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024538313",
            "telephone_number": "617-783-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOXE",
        "first_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-22",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "120615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

Verify at the official NPI Registry.