Active NPI
Bridget Nusom
- Clinical Social Worker
- Needham, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LICSW1142785
- Practice address
- 1968 Central Ave
Needham, MA 02492-1410 - Phone
- (781) 449-4500
- NPI assigned
- Sep 7, 2022
- Last updated
- Feb 23, 2026
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | ||
| Clinical Social Worker | 1041C0700X | LCSW229797 | MA | |
| Clinical Social Worker | 1041C0700X | LICSW1142785 | MA | Primary |
Addresses
Primary practice location
1968 Central Ave
Needham, MA 02492-1410
Mailing address
1968 Central Ave
Needham, MA 02492-1410
Other practice location 1
300 Baker Ave Ste 300
Concord, MA 01742-2124
Phone (508) 658-3489
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
144 Oakland St
Wellesley, MA 02481-5323
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW229797 | MA | MD | Clinical Social Worker |
| LICSW1142785 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walker, Inc. | Current | Accepting new patients | |
| Familywell PLLC | Clinical | Current | Accepting new patients |
| Familywell PLLC | Clinical | Past | Accepting new patients |
Locations
300 Baker Ave
Ste 300
Concord, MA 01742
Phone (864) 336-2731
1968 Central Ave
Needham, MA 02492
Phone (781) 292-2196
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Concord, MA
- NPI 1396524005
-
- Community Health Worker
- Needham, MA
- NPI 1053446567
-
- Clinical Social Worker
- Manchester, NH
- NPI 1174384572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771804800000",
"number": "1821719931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1968 CENTRAL AVE",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024921410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1968 CENTRAL AVE",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024921410",
"telephone_number": "781-449-4500"
}
],
"practiceLocations": [
{
"address_1": "300 Baker Ave Ste 300",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "MA",
"postal_code": "017422124",
"country_code": "US",
"telephone_number": "508-658-3489",
"fax_number": "833-740-3387",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NUSOM",
"first_name": "BRIDGET",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-07",
"last_updated": "2026-02-23",
"certification_date": "2026-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "LCSW229797",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "LICSW1142785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Needham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.