Active NPIIndividual providerSole proprietor

Mary Pederson Metelmann, LICSW

Social Worker, Clinical in Belmont, Massachusetts

NPI Number1669267571
Practice location
119 Leonard St, Belmont, MA 02478-4803
Fax
—
Last updated
April 11, 2025

Mary Pederson Metelmann is a Social Worker, Clinical based in Belmont, MA. Mary Pederson Metelmann practices in Belmont, MA and has the professional credentials of LICSW. The NPI Number for Mary Pederson Metelmann is 1669267571 and holds a License No. 1028912 (MA). The current practice location address for Mary Pederson Metelmann is 119 Leonard St, Belmont, MA 02478-4803 and can be reached out via phone at 617-721-6717.

Provider Profile Details

NPI Number
1669267571
Provider Name
Mary Pederson Metelmann
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
119 Leonard St, Belmont, MA 02478-4803
Phone Number
617-721-6717
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
April 11, 2025
Last Update Date
April 11, 2025
Certification Date
April 11, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
119 Leonard St
Belmont, MA 02478-4803
Zip
02478-4803
Phone Number
617-721-6717
Belmont, MA 02478Get directions →

Provider Business Mailing Address Details

Address
119 Leonard St
Belmont, MA 02478-4803
City
Belmont
State
MA
Zip
02478-4803
Phone Number
617-721-6717

License Information

License Number
1028912
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mary Pederson Metelmann, LICSW?

The NPI number of Mary Pederson Metelmann, LICSW is 1669267571. It was assigned on April 11, 2025 and is currently active in the NPPES registry.

What is the specialty of Mary Pederson Metelmann, LICSW?

Mary Pederson Metelmann, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1028912.

Where does Mary Pederson Metelmann, LICSW practice?

The practice location is 119 Leonard St, Belmont, MA 02478-4803. The office can be reached at 617-721-6717 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1669267571 directly on the NPPES registry website.

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