Individual provider Active NPI

Andrew Ward, LICSW

  • Clinical Social Worker
  • Wayland, MA
National Provider Identifier
1841328630
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1015408 Issued in MA
Practice address
62 Edgewood Rd
Wayland, MA 01778-4338
Phone
(617) 283-0746
Fax
(617) 534-9515
NPI assigned
Mar 1, 2007
Last updated
May 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2025

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 1015408 MA Primary

Addresses

Primary practice location

62 Edgewood Rd
Wayland, MA 01778-4338

Mailing address

62 Edgewood Rd
Wayland, MA 01778-4338
Phone (617) 263-0746

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
I20051014000683 MA Practitioner - Clinical Social Worker 0547286965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1010 Massachusetts Ave
Boston, MA 02118-2600

201 River St
Mattapan, MA 02126-2713
Phone (617) 534-9150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1015408MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Public Health Commission CurrentSince Jun 6, 2023 Accepting new patients
Boston Public Health Commission CurrentSince Jun 6, 2023 Accepting new patients
Boston University Psychiatry Associates, Inc. PastSince Aug 8, 1996 Accepting new patients
Boston Public Health Commission PastSince Mar 27, 2022 Accepting new patients

Locations

1010 Massachusetts Ave
Boston, MA 02118
Phone (617) 419-3408

201 River St
Mattapan, MA 02126
Phone (617) 534-9112

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/boston/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1841328630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 EDGEWOOD RD",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017784338",
            "telephone_number": "617-263-0746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 EDGEWOOD RD",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017784338",
            "telephone_number": "617-283-0746",
            "fax_number": "617-534-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "ANDREW",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1015408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayland, MA

Sources for this page

Verify at the official NPI Registry.