Individual provider Active NPI

Julia Valin Niss, LICSW

  • Clinical Social Worker
  • Wilmington, MA
National Provider Identifier
1801011002
Registry record updated Apr 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
114470 Issued in MA
Practice address
226 Lowell St Ste B7
Wilmington, MA 01887-3073
Phone
(781) 208-0558
Fax
(781) 208-0558
NPI assigned
Apr 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 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 114470 MA Primary

Addresses

Primary practice location

226 Lowell St Ste B7
Wilmington, MA 01887-3073

Mailing address

226 Lowell St Ste B7
Wilmington, MA 01887-3073
Phone (781) 208-0558

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
I20101110000055 MA Practitioner - Clinical Social Worker 8527253095 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
114470MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Melrosewakefield Healthcare, Inc. CurrentSince Aug 25, 2010 Accepting new patients
Hallmark Health Medical Associates Inc CurrentSince Jan 29, 2019 Accepting new patients
Personal Insight Therapy, LLC Clinical Current Accepting new patients
Melrosewakefield Healthcare, Inc. Current Accepting new patients
Hallmark Health System Inc Clinical CurrentSince Aug 25, 2010 Accepting new patients

Locations

200 Governors Ave
Medford, MA 02155
Phone (751) 391-5400

170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000

425 Revere St
Revere, MA 02151
Phone (781) 286-1313

226 Lowell St
Ste B7
Wilmington, MA 01887
Phone (781) 208-0558

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": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776556800000",
    "number": "1801011002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 LOWELL ST STE B7",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018873073",
            "telephone_number": "781-208-0558",
            "fax_number": "781-208-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 LOWELL ST STE B7",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018873073",
            "telephone_number": "781-208-0558",
            "fax_number": "781-208-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISS",
        "first_name": "JULIA",
        "middle_name": "VALIN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2026-04-19",
        "certification_date": "2026-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "114470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, MA

Sources for this page

Verify at the official NPI Registry.