Individual provider Active NPI

Tanya Cherkerzian, LICSW

  • Clinical Social Worker
  • Wellesley, MA
National Provider Identifier
1790760858
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
110518 Issued in MA
Practice address
11 River St
Wellesley, MA 02481-2098
Phone
(781) 431-1177
Fax
(781) 431-1181
NPI assigned
Dec 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 110518 MA Primary

Addresses

Primary practice location

11 River St
Wellesley, MA 02481-2098

Mailing address

11 River St
Wellesley, MA 02481-2098
Phone (781) 431-1177

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
I20051018001062 MA Practitioner - Clinical Social Worker 0143246256 Practice locations: Needham, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1116 Great Plain Ave
Suite 202
Needham, MA 02492-2344
Phone (617) 851-4087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
110518MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1790760858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 RIVER ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024812098",
            "telephone_number": "781-431-1177",
            "fax_number": "781-431-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 RIVER ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024812098",
            "telephone_number": "781-431-1177",
            "fax_number": "781-431-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERKERZIAN",
        "first_name": "TANYA",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "110518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

Verify at the official NPI Registry.