John Northridge, LICSW
NPI 1174586168 · Clinical Social Worker · South Boston, MA
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
John Northridge, LICSW is a Clinical Social Worker provider in South Boston, MA (NPI 1174586168).
Provider details
- NPI number
- 1174586168
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Male
- License
- 105237 (MA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-04-10
- Last updated
- 2007-07-08
Frequently asked questions
- What is John Northridge's NPI number?
- John Northridge's National Provider Identifier (NPI) is 1174586168, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Northridge's specialty?
- John Northridge is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is John Northridge located?
- John Northridge's practice location on file with NPPES is 58 Old Colony Ave, South Boston, MA 02127-2406.
- What is John Northridge's phone number?
- The practice phone number listed in the NPPES registry for John Northridge is (617) 268-1700.
- Does John Northridge accept Medicare?
- John Northridge is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is John Northridge's NPI active?
- Yes — John Northridge's NPI (1174586168) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.