Individual provider Active NPI

Molly Jane Schwartz, LICSW

  • Clinical Social Worker
  • Cambridge, MA
National Provider Identifier
1760917595
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LICSW126022 Issued in MA
Practice address
875 Massachusetts Ave Ste 4-1
Cambridge, MA 02139-3067
Phone
(617) 539-8752
NPI assigned
Apr 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LCSW227576 MA
Clinical Social Worker 1041C0700X LICSW126022 MA Primary
Mental Health Counselor 101YM0800X ASW89906 CA

Addresses

Primary practice location

875 Massachusetts Ave Ste 4-1
Cambridge, MA 02139-3067

Mailing address

875 Massachusetts Avenue
Suite 4-1
Cambridge, MA 02139
Phone (603) 496-8458

Other practice location 1

1600 N Cuyamaca St
El Cajon, CA 92020-1109
Phone (619) 940-9165

Other practice location 2

15 Parkman St # 037
Boston, MA 02114-3117
Phone (617) 643-6548

Other practice location 3

995 Gateway Center Way
Suite 300
San Diego, CA 92102-4500
Phone (619) 398-2156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 19, 2024 through Nov 19, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW89906CAMDMental Health Counselor
LCSW227576MAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1493510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1760917595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 MASSACHUSETTS AVENUE",
            "address_2": "SUITE 4-1",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "02139",
            "telephone_number": "603-496-8458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 MASSACHUSETTS AVE STE 4-1",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393067",
            "telephone_number": "617-539-8752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 N Cuyamaca St",
            "address_purpose": "LOCATION",
            "city": "El Cajon",
            "state": "CA",
            "postal_code": "920201109",
            "country_code": "US",
            "telephone_number": "619-940-9165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Parkman St # 037",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021143117",
            "country_code": "US",
            "telephone_number": "617-643-6548",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "995 Gateway Center Way",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921024500",
            "country_code": "US",
            "telephone_number": "619-398-2156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "MOLLY",
        "middle_name": "JANE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-30",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "LCSW227576",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW126022",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW89906",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.