Individual provider Active NPI

Elizabeth Hodlin, LICSW

  • Clinical Social Worker
  • Milton, MA
National Provider Identifier
1669734109
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
118768 Issued in MA
Practice address
464 Granite Ave Ste 25
Milton, MA 02186-5625
Phone
(978) 273-8488
NPI assigned
Jun 11, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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 118768 MA Primary

Addresses

Primary practice location

464 Granite Ave Ste 25
Milton, MA 02186-5625

Mailing address

45 Dyer Ave
Milton, MA 02186-1511
Phone (978) 273-8488

Other names 1

  • Elizabeth Worthy Former name

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
I20251107001891 MA Practitioner - Clinical Social Worker 8628568607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Boston University School of Medicine, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

169 Madison Ave
New York, NY 10016-5101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
118768MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Third Space Therapy PLLC CurrentSince Jul 31, 2025 Accepting new patients
New York State Health Medical PC Past Accepting new patients
Justice Resource Institute, Inc Past Accepting new patients

Locations

100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389

169 Madison Ave
Ste 11299
New York, NY 10016
Phone (833) 244-4878

Organizations & group practices 3

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": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1669734109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 DYER AVE",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021861511",
            "telephone_number": "978-273-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 GRANITE AVE STE 25",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021865625",
            "telephone_number": "978-273-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODLIN",
        "first_name": "ELIZABETH",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "118768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "WORTHY",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milton, MA

Sources for this page

Verify at the official NPI Registry.