Individual provider Active NPI

Aliki Pishev, LICSW

  • Clinical Social Worker
  • Lexington, MA
National Provider Identifier
1609839190
Registry record updated Aug 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1019780 Issued in MA
Practice address
114 Waltham St
Suite 22
Lexington, MA 02421-5415
Phone
(781) 841-6869
Fax
(309) 404-7052
NPI assigned
Apr 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2019

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 1019780 MA Primary

Addresses

Primary practice location

114 Waltham St
Suite 22
Lexington, MA 02421-5415

Mailing address

55 Meriam St
Lexington, MA 02420-3638
Phone (781) 367-3504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 3, 2023 through Mar 3, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1609839190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MERIAM ST",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024203638",
            "telephone_number": "781-367-3504",
            "fax_number": "309-404-7052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 WALTHAM ST",
            "address_2": "SUITE 22",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024215415",
            "telephone_number": "781-841-6869",
            "fax_number": "309-404-7052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISHEV",
        "first_name": "ALIKI",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-07",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1019780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MA

Sources for this page

Verify at the official NPI Registry.