Individual provider Active NPI

Nicholas Heath, LCSW

  • Clinical Social Worker
  • Boston, MA
National Provider Identifier
1699943472
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LICSW124232 Issued in MA
Practice address
25 Warren Ave Apt 5
Boston, MA 02116-6150
Phone
(857) 301-7306
NPI assigned
Feb 14, 2008
Last updated
Aug 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LICSW124232 MA Primary
Clinical Social Worker 1041C0700X NU
Clinical Social Worker 1041C0700X ISW04677 RI

Addresses

Primary practice location

25 Warren Ave Apt 5
Boston, MA 02116-6150

Mailing address

2 Courthouse Lane
Suite 3
Chelmsford, MA 01824
Phone (978) 275-9444

Other practice location 1

1150 Reservoir Ave Ste 203
Cranston, RI 02920-6032
Phone (401) 259-0340

Other identifiers 1

IdentifierTypeStateIssuer
110109359MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210520002256 MA Practitioner - Clinical Social Worker 7719386960 Reassigns benefits to 2 organizations
I20260127000815 RI Practitioner - Clinical Social Worker 7719386960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HKD Outreach PCGroup PAC ID 0547570806, 12 clinicians

Practice addresses (Care Compare)

25 Melville Ave
Dorchester, MA 02124-2105
Phone (617) 201-1002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LICSW124232MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Health Services, LLC CurrentSince Jul 1, 2023 Accepting new patients
Rhode Island Counseling Associates LLC CurrentSince Jan 15, 2026 Accepting new patients
Mongoose Therapy, LLC Clinical CurrentSince Jul 13, 2025 Accepting new patients
Nick Heath Licsw, LLC Clinical CurrentSince Jan 29, 2023 Accepting new patients
HKD Outreach PC Clinical CurrentSince Dec 28, 2025 Accepting new patients

Locations

30 Taunton Grn
Ste 5
Taunton, MA 02780
Phone (508) 545-7400

1150 Reservoir Ave
Ste 203
Cranston, RI 02920
Phone (401) 259-0340

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1699943472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 COURTHOUSE LANE",
            "address_2": "SUITE 3",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "01824",
            "telephone_number": "978-275-9444",
            "fax_number": "978-275-9918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WARREN AVE APT 5",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021166150",
            "telephone_number": "857-301-7306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1150 Reservoir Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Cranston",
            "state": "RI",
            "postal_code": "029206032",
            "country_code": "US",
            "telephone_number": "401-259-0340",
            "fax_number": "401-213-8538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEATH",
        "first_name": "NICHOLAS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-14",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW124232",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW04677",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110109359",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.