Ellen Maiman, LICSW
Social Worker, Clinical in Concord, MA. Individual provider (NPI-1).
NPI number1598892986
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1598892986
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Ellen Maiman
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 27, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 1019793 | MA | Yes |
Practice location
111 Old Road To 9 Acre CorConcord, MA 01742-4141
Phone 978-369-1113 · Fax 978-369-0908
Mailing address
4 Nadine RdActon, MA 01720-3619
Phone 978-266-1344
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 129 Clinical Social Worker providers in Concord · All 1,345 providers in Concord
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