Individual provider Active NPI

Aviva L. List, LICSW

  • Clinical Social Worker
  • Canton, MA
National Provider Identifier
1710461124
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
120351 Issued in MA
Practice address
1032 Turnpike St Ste 301
Canton, MA 02021-2864
Phone
(646) 645-4680
NPI assigned
Sep 21, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 120351 MA Primary

Addresses

Primary practice location

1032 Turnpike St Ste 301
Canton, MA 02021-2864

Mailing address

9 Emerson Rd
Wellesley, MA 02481-3401
Phone (646) 645-4680

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
I20240606002681 MA Practitioner - Clinical Social Worker 9931641826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Abelard Psychotherapy IncGroup PAC ID 4385059104, 16 clinicians

Practice addresses (Care Compare)

1032 Turnpike St
Suite 301
Canton, MA 02021-2864
Phone (781) 344-0057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
120351MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Abelard Psychotherapy Inc. CurrentSince Apr 28, 2024 Accepting new patients

Locations

1032 Turnpike St
Ste 301
Canton, MA 02021
Phone (781) 344-0057

30 Eastbrook Rd
Ste 103
Dedham, MA 02026
Phone (781) 344-0057

450 Pearl St
Ste 3
Stoughton, MA 02072
Phone (781) 344-0057

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, 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": "1537488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1710461124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 EMERSON RD",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024813401",
            "telephone_number": "646-645-4680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 TURNPIKE ST STE 301",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212864",
            "telephone_number": "646-645-4680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIST",
        "first_name": "AVIVA",
        "middle_name": "L.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-21",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "120351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MA

Sources for this page

Verify at the official NPI Registry.