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SOPHIE CLAIRE STATON
NPI 1629620810
Social Worker - Clinical in Boston, MA

Active since July 09, 2019PECOS Enrolled
1 BOSTON MEDICAL CTR PL STE 2, BOSTON, MA 02118(617) 414-5245 Get Directions Write a Review

NPPES record last updated: April 25, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 13, 2020, Jul 9, 2019 (2 updates tracked since 2019).

About Sophie Claire Staton NPPES

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

SOPHIE CLAIRE STATON (NPI 1629620810) is an individual clinical provider in Boston, Massachusetts, licensed in Massachusetts (225522) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629620810
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSOPHIE CLAIRE STATON
Location Address1 BOSTON MEDICAL CTR PL STE 2Boston, MA 02118-2910
Mailing Address801 Albany St Fl GBoston, MA 02119-3791 · (617) 414-5245
Phone(617) 414-5245
Sole ProprietorYes
Enumeration DateJuly 9, 2019
Last NPPES UpdateApril 25, 20232 updates tracked since enumeration
NPPES CertifiedApril 25, 2023
✔ NPI 1629620810 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 · 225522
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.
1 BOSTON MEDICAL CTR PL STE 2, Boston, MA 02118
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sophie Claire Staton is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Sophie Staton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The General Hospital Corporation
2.0 mi
General Acute Care Hospital
55 FRUIT ST, BULFINCH 360
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,234 clinicians in this Medicare group
NPI 1023049236 (617) 726-2000
Massachusetts General Physicians Organization Inc
2.0 mi
Dermatology
55 FRUIT ST, BUL 2
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,360 clinicians in this Medicare group
NPI 1801874573 (617) 724-0287

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02118 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.

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 Sophie Staton's NPI number?

The NPI number for Sophie Staton is 1629620810. It was assigned to this individual provider in the NPPES registry on July 9, 2019.

Where is Sophie Staton located?

Sophie Staton practices at 1 Boston Medical Ctr Pl Ste 2, Boston, MA 02118. The listed phone number is (617) 414-5245.

What is Sophie Staton's specialty?

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

Is Sophie Staton enrolled in Medicare?

Yes. Sophie Staton is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sophie Staton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sophie Staton reassigns Medicare benefits to 2 organizations: The General Hospital Corporation (Boston, MA) and Massachusetts General Physicians Organization Inc (Boston, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sophie Staton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sophie Staton accept?

Health plans from Harvard Pilgrim Health Care list Sophie Staton 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 Sophie Staton was last updated on April 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.