Individual provider Active NPI

Mariah Katz, LICSW

  • Clinical Social Worker
  • Belmont, MA
National Provider Identifier
1497359871
Registry record updated Nov 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
115 Mill St
Belmont, MA 02478-1048
Phone
(617) 855-3264
NPI assigned
Nov 25, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

115 Mill St
Belmont, MA 02478-1048

Mailing address

18 Walcott St
#2
Hopkinton, MA 01748
Phone (978) 549-9088

Other practice location 1

18 Walcott St
#2
Hopkinton, MA 01748
Phone (978) 549-9088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20241029002804 MA Practitioner - Clinical Social Worker 8224561287 Practice locations: Hopkinton, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Hopkinton, MA 01748
Phone (508) 475-9004

18 Walcott St
Suite 2
Hopkinton, MA 01748-1259

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1606262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1497359871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 WALCOTT ST",
            "address_2": "#2",
            "city": "HOPKINTON",
            "state": "MA",
            "postal_code": "01748",
            "telephone_number": "978-549-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MILL ST",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024781048",
            "telephone_number": "617-855-3264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 Walcott St",
            "address_2": "#2",
            "address_purpose": "LOCATION",
            "city": "Hopkinton",
            "state": "MA",
            "postal_code": "01748",
            "country_code": "US",
            "telephone_number": "978-549-9088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATZ",
        "first_name": "MARIAH",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-25",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, MA

Sources for this page

Verify at the official NPI Registry.