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MARY MINOTT LICSW
NPI 1164909057
Social Worker - Clinical in Brookline, MA

Active since July 24, 2018Opted out of Medicare · through Jan 11, 2028
115 GREENOUGH ST, BROOKLINE, MA 02445(617) 713-5155 Get Directions Write a Review

NPPES record last updated: July 24, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Minott Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY MINOTT LICSW (NPI 1164909057) is an individual clinical provider in Brookline, Massachusetts, licensed in Massachusetts (106227) and active in the NPI registry since July 2018. She has opted out of Medicare through January 11, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1164909057
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY MINOTTCredential: LICSW
Location Address115 GREENOUGH STBrookline, MA 02445-6151
Mailing Address1196 Central AveNeedham, MA 02492-1653 · (161) 736-5705
Phone(617) 713-5155
Sole ProprietorYes
Enumeration DateJuly 24, 2018
✔ NPI 1164909057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MA · 106227
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
115 GREENOUGH ST, Brookline, MA 02445
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mary Minott Licsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 11, 2024 through January 11, 2028.

Opt-Out Effective DateJanuary 11, 2024
Opt-Out In Effect ThroughJanuary 11, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02445 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $63.72 – $189.86
Typical copayment $0.00 (range $15.93 – $47.46)
Most-billed visit code NA
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OWEN MINOTT
Social Worker (School)
115 GREENOUGH ST
BROOKLINE, MA 02445
Norfolk County (617) 438-0582
MR. JOHN B. ORTIZ MSW, LCSW
Social Worker (Clinical)
115 GREENOUGH ST
BROOKLINE, MA 02445
Norfolk County (617) 713-5099
MS. TAYSIA MICHELLE HOLMES-MAXWELL BA
Social Worker (School)
115 GREENOUGH ST
BROOKLINE, MA 02445
Norfolk County (617) 800-7221
MR. ROBERT BRIAN BURKE LATC, EMT ,LMT
Specialist/Technologist (Athletic Trainer)
115 GREENOUGH ST
BROOKLINE, MA 02445
Norfolk County (617) 713-5416

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Minott's NPI number?

The NPI number for Mary Minott is 1164909057. It was assigned to this individual provider in the NPPES registry on July 24, 2018.

Where is Mary Minott located?

Mary Minott practices at 115 Greenough St, Brookline, MA 02445. The listed phone number is (617) 713-5155.

What is Mary Minott's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Mary Minott enrolled in Medicare?

No. Mary Minott has opted out of Medicare through January 11, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Mary Minott accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Providence Health Plan list Mary Minott as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Minott was last updated on July 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.