Active NPI
Molly Jane Schwartz, LICSW
- Clinical Social Worker
- Cambridge, MA
National Provider Identifier
1760917595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LICSW126022
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| ASW89906 | CA | MD | Mental Health Counselor |
| LCSW227576 | MA | MD | Social 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.