Individual provider Active NPI

David A. Huddleston, LICSW

  • Social Worker
  • Brighton, MA
National Provider Identifier
1922087113
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
111001 Issued in MA
Practice address
11 Nevins St Ste 403
Brighton, MA 02135-3514
Phone
(617) 789-2102
NPI assigned
Jan 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 111001 MA Primary

Addresses

Primary practice location

11 Nevins St Ste 403
Brighton, MA 02135-3514

Mailing address

960 Massachusetts Ave
FL 2
Boston, MA 02118

Other practice location 1

77 Warren St
Brighton, MA 02135-3601
Phone (617) 562-5550

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
I20050825000400 MA Practitioner - Clinical Social Worker 7618908096

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

960 Massachusetts Ave
Suite 2
Boston, MA 02118-2620

960 Massachusetts Ave
Suite 2
Boston, MA 02118-2690

PO Box
Belfast, ME 04915-4023

PO Box
Belfast, ME 04915-4100

Hospital & facility affiliations

  • Boston Medical Center-Brighton Hospital, Brighton, MA, CCN 220036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
BMC Affiliated Physicians, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Caritas St. Elizabeth'S Medical Center Past Accepting new patients
Diane M. English,M.D.,P.C. PastSince Mar 20, 2025 Accepting new patients

Locations

960 Massachusetts Ave
Ste 2
Boston, MA 02118

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

11 Nevins St
Ste 403
Brighton, MA 02135
Phone (617) 254-1247

77 Warren St
Fl 1
Brighton, MA 02135
Phone (617) 562-5200

11 Nevins St
Ste 401
Brighton, MA 02135
Phone (617) 682-7788

77 Warren St
Brighton, MA 02135
Phone (617) 254-1271

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

Interoperability endpoints

  • Direct secure messaging: david.huddleston.3@2017.direct.athenahealth.com
  • Direct secure messaging: dhuddleston259710@direct.bmc.masshiway.net

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1922087113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 MASSACHUSETTS AVE",
            "address_2": "FL 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 NEVINS ST STE 403",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021353514",
            "telephone_number": "617-789-2102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77 Warren St",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MA",
            "postal_code": "021353601",
            "country_code": "US",
            "telephone_number": "617-562-5550",
            "fax_number": "617-562-5564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUDDLESTON",
        "first_name": "DAVID",
        "middle_name": "A.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-16",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "111001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MA

Sources for this page

Verify at the official NPI Registry.