Individual provider Active NPI

Nadolphia Andou, LICSW

  • Clinical Social Worker
  • Boston, MA
National Provider Identifier
1891385480
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
126667 Issued in MA
Practice address
1 Washington Mall # 1232
Boston, MA 02108-2616
Phone
(617) 545-7478
NPI assigned
Jan 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 225326 MA
Clinical Social Worker 1041C0700X 126667 MA Primary

Addresses

Primary practice location

1 Washington Mall # 1232
Boston, MA 02108-2616

Mailing address

1 Washington St # 1232
Boston, MA 02108-2600
Phone (617) 545-7478

Other practice location 1

50 Redfield St Ste 105
Dorchester, MA 02122-3640
Phone (617) 545-7478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
225326MAMDSocial Worker
126667MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Health Well Counseling and Consultation, LLC Clinical CurrentSince Jul 13, 2025 Accepting new patients
Northeast Behavioral Associates Inc. Past Accepting new patients
Northeast Behavioral Associates Past Accepting new patients

Locations

1 Washington Mall
#1232
Boston, MA 02108
Phone (617) 545-7478

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.

NPI Registry JSON

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1891385480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WASHINGTON ST # 1232",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021082600",
            "telephone_number": "617-545-7478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WASHINGTON MALL # 1232",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021082616",
            "telephone_number": "617-545-7478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Redfield St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Dorchester",
            "state": "MA",
            "postal_code": "021223640",
            "country_code": "US",
            "telephone_number": "617-545-7478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDOU",
        "first_name": "NADOLPHIA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-19",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "225326",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "126667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.