Nick Heath Licsw, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

NICK HEATH LICSW, LLC

Practice address

25 Warren Ave Apt 5
Boston, MA 02116-6150

Phone

(617) 320-3876

NPI assigned

Jan 27, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Nicholas Heath, LICSWNPI 1699943472

Title

Licsw

Phone

(617) 320-3876

Specialties & licenses 1

Addresses

Other names 1

• MONGOOSE THERAPY, LLC Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicholas Heath, LCSW

  • Clinical Social Worker
  • Boston, MA
  • NPI 1699943472
  NPD Authorized official

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

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764720000000",
    "number": "1912613373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WARREN AVE APT 5",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021166150",
            "telephone_number": "617-320-3876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WARREN AVE APT 5",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021166150",
            "telephone_number": "617-320-3876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICK HEATH LICSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-27",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A",
        "authorized_official_last_name": "HEATH",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "LICSW",
        "authorized_official_telephone_number": "617-320-3876",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MONGOOSE THERAPY, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Laura Bradford Nicholson
• Leslie Nicholson
• Nancy H Nicholson, NP
• Ouzama N Nicholson, M.D.
• Showly Nicholson, MD
• Sophie Evelyn Nick
• Ian Nickel, MD
• Alana Nicker
• Alex Adams Nickerson
• Graham R Nickerson, DDS

• Clinical Social Worker in Boston, MA
• Providers in Boston, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.