Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

JOHN AUGUSTUS NORTHRIDGE LICSW
NPI 1174586168
Social Worker - Clinical in South Boston, MA

Active since April 10, 2006PECOS Enrolled
58 OLD COLONY AVE, SOUTH BOSTON, MA 02127(617) 268-1700(617) 268-1991 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John Augustus Northridge Licsw NPPES

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

JOHN AUGUSTUS NORTHRIDGE LICSW (NPI 1174586168) is an individual clinical provider in South Boston, Massachusetts, licensed in Massachusetts (105237) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1979).

NPPES Registry Identity

NPI1174586168
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJOHN AUGUSTUS NORTHRIDGECredential: LICSW
Location Address58 OLD COLONY AVESouth Boston, MA 02127-2406
Mailing Address11 Orchard RdWeymouth, MA 02190-1636 · (781) 335-6104
Fax(617) 268-1991
Sole ProprietorNo
Medical School CMSOtherGraduated 1979
Enumeration DateApril 10, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1174586168 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 · 105237
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.

58 OLD COLONY AVE, South Boston, MA 02127

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

John Augustus Northridge Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658326343
PECOS Enrollment IDI20050315000978
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02127 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 15

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

Psychiatry & Neurology (Child & Adolescent Psychiatry)
58 OLD COLONY AVE
SOUTH BOSTON, MA 02127
Counselor (Mental Health)
58 OLD COLONY AVE
SOUTH BOSTON, MA 02127
Social Worker (Clinical)
58 OLD COLONY AVE
SOUTH BOSTON, MA 02127
Student in an Organized Health Care Education/Training Program
58 OLD COLONY AVE
BOSTON, MA 02127
Student in an Organized Health Care Education/Training Program
58 OLD COLONY AVE
SOUTH BOSTON, MA 02127
Student in an Organized Health Care Education/Training Program
58 OLD COLONY AVE
SOUTH BOSTON, MA 02127
Student in an Organized Health Care Education/Training Program
58 OLD COLONY AVE
SOUTH BOSTON, MA 02127
Student in an Organized Health Care Education/Training Program
58 OLD COLONY AVE
SOUTH BOSTON, MA 02127

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 John Northridge's NPI number?

The NPI number for John Northridge is 1174586168. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is John Northridge located?

John Northridge practices at 58 Old Colony Ave, South Boston, MA 02127. The listed phone number is (617) 268-1700.

What is John Northridge's specialty?

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

Is John Northridge enrolled in Medicare?

Yes. John Northridge is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does John Northridge accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Providence Health Plan list John Northridge 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 John Northridge was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.