Heather Ayares, LICSW
Individual provider Active NPI Clinical Social Worker · Brookline, MA
NPI 1710107263 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1710107263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 1024259 (MA)
- Practice address
- 1101 Beacon St
Suite 8 West
Brookline, MA 02446-5587 - Phone
- (617) 694-2441
- NPI assigned
- Apr 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
105 Glen Ave
Newton Center, MA 02459-2050
Phone (617) 694-2441
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041117000972 | MA | Practitioner - Clinical Social Worker | 4284698325 | Practice locations: Newton Center, MA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1024259 | MA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1024259 | MA | Yes |
Addresses
Primary practice location
1101 Beacon St
Suite 8 West
Brookline, MA 02446-5587
Mailing address
105 Glen Ave
Newton, MA 02459-2050
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PO7143 | Other | MA | BLUE CROSS BLUE SHIELD |
Other providers in Brookline, MA
- Avalon Psychotherapy
- Nina Ann Avedon
- Laura H Aversa
- Nancy Carolyn Avery
- Aviva M. Katz, PH.D., LLC
- Elvin Aydin Keles
- Khadijat Ayinla
- Haleh Azar
- Emily Bachmann
- Sharon Sara Bacigalupi
All providers in Brookline, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.