Individual provider Active NPI

Jose Nieves, LCSW

  • Clinical Social Worker
  • Marlborough, MA
National Provider Identifier
1669609319
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
218474 Issued in MA
Practice address
28 Lord Rd Ste 215
Marlborough, MA 01752-4549
Phone
(781) 666-2711
Fax
(781) 666-2712
NPI assigned
Jun 19, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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 218474 MA Primary

Addresses

Primary practice location

28 Lord Rd Ste 215
Marlborough, MA 01752-4549

Mailing address

28 Lord Rd Ste 215
Marlborough, MA 01752-4549
Phone (781) 666-2711

Other practice location 1

97 Central St
Suite 207
Lowell, MA 01852-1917
Phone (978) 735-3529

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
I20220421002265 MA Practitioner - Clinical Social Worker 2062809098 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Neurobehavioral Associates, LLC CurrentSince Mar 31, 2022 Accepting new patients
Spectrum Neuro Behavioral Care LLC CurrentSince Jul 17, 2026 Accepting new patients
Cartwheel Health Services PC Clinical Past Accepting new patients
Institute for Health and Recovery Inc PastSince Jul 1, 2015 Accepting new patients

Locations

61 Lincoln St
Ste 203
Framingham, MA 01702
Phone (508) 500-6166

28 Lord Rd
Ste 215
Marlborough, MA 01752
Phone (781) 666-2711

226 Field St
New Bedford, MA 02740
Phone (508) 817-5129

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/healthrecovery/r4/

Organizations & group practices 4

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": "1245369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1669609319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 LORD RD STE 215",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017524549",
            "telephone_number": "781-666-2711",
            "fax_number": "781-666-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 LORD RD STE 215",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017524549",
            "telephone_number": "781-666-2711",
            "fax_number": "781-666-2712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "97 Central St",
            "address_2": "Suite 207",
            "address_purpose": "LOCATION",
            "city": "Lowell",
            "state": "MA",
            "postal_code": "018521917",
            "country_code": "US",
            "telephone_number": "978-735-3529",
            "fax_number": "978-452-0054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIEVES",
        "first_name": "JOSE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-19",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "218474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlborough, MA

Sources for this page

Verify at the official NPI Registry.