Active NPIIndividual providerSole proprietor

Ms. Mimi S Licht, LICSW, BCD

Social Worker, Clinical in Wayland, Massachusetts

NPI Number1700811528
Practice location
219 Concord RD, Wayland, MA 01778-1207
Fax
—
Last updated
July 8, 2007

Mimi Sohn Licht is a Social Worker, Clinical based in Wayland, MA. Mimi Sohn Licht practices in Wayland, MA and has the professional credentials of LICSW, BCD. The NPI Number for Mimi Sohn Licht is 1700811528 and holds a License No. 102126 (MA). The current practice location address for Mimi Sohn Licht is 219 Concord RD, Wayland, MA 01778-1207 and can be reached out via phone at 508-358-5706.

Provider Profile Details

NPI Number
1700811528
Provider Name
Mimi Sohn Licht
Credential
LICSW, BCD
Provider Entity Type
Individual
Gender
Female
Address
219 Concord RD, Wayland, MA 01778-1207
Phone Number
508-358-5706
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
July 11, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
219 Concord RD
Wayland, MA 01778-1207
Zip
01778-1207
Phone Number
508-358-5706
Wayland, MA 01778Get directions →

Provider Business Mailing Address Details

Address
219 Concord RD
Wayland, MA 01778-1207
City
Wayland
State
MA
Zip
01778-1207
Phone Number
508-358-5706

License Information

License Number
102126
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 Ms. Mimi S Licht, LICSW, BCD?

The NPI number of Ms. Mimi S Licht, LICSW, BCD is 1700811528. It was assigned on July 11, 2006 and is currently active in the NPPES registry.

What is the specialty of Ms. Mimi S Licht, LICSW, BCD?

Ms. Mimi S Licht, LICSW, BCD is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 102126.

Where does Ms. Mimi S Licht, LICSW, BCD practice?

The practice location is 219 Concord RD, Wayland, MA 01778-1207. The office can be reached at 508-358-5706 (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 1700811528 directly on the NPPES registry website.

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