Individual provider Active NPI

Michael Pithis, LICSW

  • Clinical Social Worker
  • Franklin, MA
National Provider Identifier
1649778846
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
120769 Issued in MA
Practice address
525 Old Farm Rd
Franklin, MA 02038-1180
Phone
(978) 245-7663
NPI assigned
Jan 23, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 120769 MA
Clinical Social Worker 1041C0700X 120769 MA Primary

Addresses

Primary practice location

525 Old Farm Rd
Franklin, MA 02038-1180

Mailing address

525 Old Farm Rd
Franklin, MA 02038-1180
Phone (978) 460-1877

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
120769MAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
M&P Wellness LLC Clinical CurrentSince Jun 14, 2020 Accepting new patients

Locations

383 Elliot St
Ste 100
Newton Upper Falls, MA 02464
Phone (617) 564-0667

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": "1516665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1649778846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 OLD FARM RD",
            "city": "FRANKLIN",
            "state": "MA",
            "postal_code": "020381180",
            "telephone_number": "978-460-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 OLD FARM RD",
            "city": "FRANKLIN",
            "state": "MA",
            "postal_code": "020381180",
            "telephone_number": "978-245-7663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITHIS",
        "first_name": "MICHAEL",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-23",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "120769",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "120769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.