Active NPI
Leo V Sarkissian, MSW
- Social Worker
- Waltham, MA
National Provider Identifier
1639644651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 104968-SW-LICSW
- Practice address
- The Arc of Massachusetts
217 South Street
Waltham, MA 02453 - Phone
- (781) 891-6270
- NPI assigned
- Oct 5, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 104968-SW-LICSW | MA | Primary |
Addresses
Primary practice location
The Arc of Massachusetts
217 South Street
Waltham, MA 02453
Mailing address
35 Pintail Rd
Walpole, MA 02081-4357
Phone (617) 838-8832
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104968-SW-LICSW | MA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538697600000",
"number": "1639644651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 PINTAIL RD",
"city": "WALPOLE",
"state": "MA",
"postal_code": "020814357",
"telephone_number": "617-838-8832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "THE ARC OF MASSACHUSETTS",
"address_2": "217 SOUTH STREET",
"city": "WALTHAM",
"state": "MA",
"postal_code": "02453",
"telephone_number": "781-891-6270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARKISSIAN",
"first_name": "LEO",
"middle_name": "V",
"name_prefix": "Mr.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-05",
"last_updated": "2018-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "104968-SW-LICSW",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.