Active NPI
Nicholas Heath, LCSW
- Clinical Social Worker
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LICSW124232
- Practice address
- 25 Warren Ave Apt 5
Boston, MA 02116-6150 - Phone
- (857) 301-7306
- NPI assigned
- Feb 14, 2008
- Last updated
- Aug 24, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110109359 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| LICSW124232 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Health Services, LLC | Current | Accepting new patients | |
| Rhode Island Counseling Associates LLC | Current | Accepting new patients | |
| Mongoose Therapy, LLC | Clinical | Current | Accepting new patients |
| Nick Heath Licsw, LLC | Clinical | Current | Accepting new patients |
| HKD Outreach PC | Clinical | Current | 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
- 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.
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- NPI 1225067481
-
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- NPI 1336638303
-
- Clinical Social Worker
- Boston, MA
- NPI 1912613373
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- Clinical Social Worker
- Boston, MA
- NPI 1578453148
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.