Individual provider Active NPI

Max Roberts

  • Social Worker
  • Norwell, MA
National Provider Identifier
1760030787
Registry record updated Jan 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
226362 Issued in MA
Practice address
200 Cordwainer Dr Ste 304
Norwell, MA 02061-1671
Phone
(781) 546-2968
Fax
(339) 788-9431
NPI assigned
Sep 3, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 226362 MA Primary

Addresses

Primary practice location

200 Cordwainer Dr Ste 304
Norwell, MA 02061-1671

Mailing address

200 Cordwainer Dr Ste 304
Norwell, MA 02061-1671
Phone (203) 494-5397

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
I20240221000161 MA Practitioner - Clinical Social Worker 5496199218 Reassigns benefits to 1 organization
Practice locations: Norwell, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kim Psychiatric ServicesGroup PAC ID 2466801543, 5 clinicians

Practice addresses (Care Compare)

200 Cordwainer Dr
Suite 304
Norwell, MA 02061-1671
Phone (781) 546-8368

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
226362MAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Functional Psychiatry and Integrated Medicine Center CurrentSince Sep 14, 2025 Accepting new patients
Kim Psychiatric Services CurrentSince Dec 26, 2023 Accepting new patients
Column Health, LLC PastSince Nov 1, 2022 Accepting new patients
North Charles Mental Health Research & Training Foundation, Inc Social Worker PastSince Dec 22, 2019 Accepting new patients
Cambridge Psychiatric Services, Inc PastSince Oct 31, 2021 Accepting new patients

Locations

200 Cordwainer Dr
#304
Norwell, MA 02061
Phone (781) 546-2968

Interoperability endpoints

  • Direct secure messaging: max.roberts.1@11044.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767398400000",
    "number": "1760030787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORDWAINER DR STE 304",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611671",
            "telephone_number": "203-494-5397",
            "fax_number": "339-788-9431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CORDWAINER DR STE 304",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611671",
            "telephone_number": "781-546-2968",
            "fax_number": "339-788-9431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "MAX",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-03",
        "last_updated": "2026-01-03",
        "certification_date": "2026-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "226362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwell, MA

Sources for this page

Verify at the official NPI Registry.