Individual provider Active NPI

Mylinh Tran Hieronymus, MSW, LICSW

  • Clinical Social Worker
  • Newton, MA
National Provider Identifier
1699434878
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
126078 Issued in MA
Practice address
109 Oak St Ste 201
Newton, MA 02464-1493
Phone
(617) 221-3278
NPI assigned
Dec 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 226521 MA
Clinical Social Worker 1041C0700X 126078 MA Primary

Addresses

Primary practice location

109 Oak St Ste 201
Newton, MA 02464-1493

Mailing address

109 Oak St Ste 201
Newton, MA 02464-1493
Phone (617) 221-3278

Other practice location 1

38 Newcastle Rd
Brighton, MA 02135-1817
Phone (781) 716-7541

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
I20250528001400 MA Practitioner - Clinical Social Worker 9436678984 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
126078MAMDClinical Social Worker
226521MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Boston Mental Health, PLLC CurrentSince Jun 2, 2025 Accepting new patients

Locations

450 Bedford St
Ste 2400
Lexington, MA 02420
Phone (781) 633-7779

109 Oak St
Ste 201
Newton Upper Falls, MA 02464
Phone (617) 302-9171

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": "1639526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1699434878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 OAK ST STE 201",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024641493",
            "telephone_number": "617-221-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 OAK ST STE 201",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024641493",
            "telephone_number": "617-221-3278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38 Newcastle Rd",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MA",
            "postal_code": "021351817",
            "country_code": "US",
            "telephone_number": "781-716-7541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIERONYMUS",
        "first_name": "MYLINH",
        "middle_name": "TRAN",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-15",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "226521",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "126078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

Verify at the official NPI Registry.