Active NPI
Aliki Pishev, LICSW
- Clinical Social Worker
- Lexington, MA
National Provider Identifier
1609839190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1019780
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
-
- Clinical Social Worker
- Lexington, MA
- NPI 1952600827
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.