Alivia Grace Carlton, LCSW

Individual provider Active NPI Clinical Social Worker · Newton Centre, MA

NPI 1699509604 · NPPES record last updated Aug 30, 2024

Key facts

NPI
1699509604
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
LCSW230451 (MA)
Practice address
1320 Centre St Ste 101
Newton Centre, MA 02459-2400
Phone
(617) 752-7400
NPI assigned
Aug 30, 2024
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LCSW230451MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Multi-Service Eating Disorders Association Inc Current
since Sep 1, 2024
Accepting new patients

Locations

1320 Centre St
Ste 101
Newton Centre, MA 02459
Phone (617) 558-1881

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW230451 MA Yes

Addresses

Primary practice location

1320 Centre St Ste 101
Newton Centre, MA 02459-2400

Mailing address

1320 Centre St Ste 101
Newton Centre, MA 02459-2400

Other providers in Newton Centre, MA

All providers in Newton Centre, MA · Clinical Social Worker in Massachusetts

Sources for this page

Verify at the official NPI Registry.