Individual provider Active NPI

Simon Davis-Millis

  • Social Worker
  • Braintree, MA
National Provider Identifier
1588030233
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
220 Forbes Rd Ste 204
Braintree, MA 02184-2712
Phone
(781) 417-5526
NPI assigned
Aug 18, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

220 Forbes Rd Ste 204
Braintree, MA 02184-2712

Mailing address

220 Forbes Rd Ste 204
Braintree, MA 02184-2712
Phone (781) 417-5526

Other practice location 1

3 Boulevard St Ste 1R
Milton, MA 02186-5400
Phone (781) 417-5526

Other practice location 2

300 Tradecenter Ste 1500
Woburn, MA 01801-7400
Phone (781) 417-5526

Other practice location 3

132 Central St Ste 215
Foxboro, MA 02035-2463
Phone (781) 417-5526

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
I20210128000354 MA Practitioner - Clinical Social Worker 9830503143

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Justice Resource Institute 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.

NPI Registry JSON

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1588030233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 FORBES RD STE 204",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021842712",
            "telephone_number": "781-417-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 FORBES RD STE 204",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021842712",
            "telephone_number": "781-417-5526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Boulevard St Ste 1R",
            "address_purpose": "LOCATION",
            "city": "Milton",
            "state": "MA",
            "postal_code": "021865400",
            "country_code": "US",
            "telephone_number": "781-417-5526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Tradecenter Ste 1500",
            "address_purpose": "LOCATION",
            "city": "Woburn",
            "state": "MA",
            "postal_code": "018017400",
            "country_code": "US",
            "telephone_number": "781-417-5526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "132 Central St Ste 215",
            "address_purpose": "LOCATION",
            "city": "Foxboro",
            "state": "MA",
            "postal_code": "020352463",
            "country_code": "US",
            "telephone_number": "781-417-5526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS-MILLIS",
        "first_name": "SIMON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-18",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Braintree, MA

Sources for this page

Verify at the official NPI Registry.