What is Mimi Licht's NPI number?

Mimi Licht's National Provider Identifier (NPI) is 1700811528, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Mimi Licht's specialty?

Mimi Licht is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).

Where is Mimi Licht located?

Mimi Licht's practice location on file with NPPES is 219 Concord Rd, Wayland, MA 01778-1207.

What is Mimi Licht's phone number?

The practice phone number listed in the NPPES registry for Mimi Licht is (508) 358-5706.

Is Mimi Licht's NPI active?

Yes — Mimi Licht's NPI (1700811528) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Mimi Licht, LICSW, BCD

NPI 1700811528 · Clinical Social Worker · Wayland, MA

Mimi Licht, LICSW, BCD is a Clinical Social Worker provider in Wayland, MA (NPI 1700811528).

Provider details

NPI number: 1700811528
Entity type: Individual
Primary specialty: Clinical Social WorkerBehavioral Health & Social Service Providers
Credential: LICSW, BCD
Sex: Female
Sole proprietor: Yes
License: 102126 (MA)

Specialties & taxonomies

Clinical Social WorkerPrimary1041C0700XLicense 102126 (MA)
Behavioral Health & Social Service Providers

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 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

219 Concord Rd

Wayland, MA 01778-1207

Phone: (508) 358-5706

Street-level locationGet directions

More MA providers

Mailing address