MARJORIE B. SIEGEL LICSW
NPI 1649365776
Social Worker - Clinical in Brookline, MA

Active since October 04, 2006Opted out of Medicare · through Apr 1, 2028
1180 BEACON ST, SUITE 4B, BROOKLINE, MA 02446(617) 731-0932 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marjorie B. Siegel Licsw NPPES

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

MARJORIE B. SIEGEL LICSW (NPI 1649365776) is an individual clinical provider in Brookline, Massachusetts, licensed in Massachusetts (SW 1030148-1) and active in the NPI registry since October 2006. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1649365776
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARJORIE B. SIEGELCredential: LICSW
Location Address1180 BEACON ST, SUITE 4BBrookline, MA 02446-3885
Mailing AddressPo Box 470644Brookline Village, MA 02447-0644 · (617) 731-0932
Sole ProprietorYes
Enumeration DateOctober 4, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1649365776 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 · SW 1030148-1
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.
1180 BEACON ST, Brookline, MA 02446

Other Identifiers 1

OtherP07517MA · Blue Cross

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Marjorie B. Siegel 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 April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

Obstetrics & Gynecology (Gynecology)
1180 BEACON ST, SUITE 3D
BROOKLINE, MA 02446
Pediatrics
1180 BEACON ST, SUITE 4A
BROOKLINE, MA 02446
Physical Medicine & Rehabilitation
1180 BEACON ST, STE 3C
BROOKLINE, MA 02446
Dentist
1180 BEACON ST, SUITE 2B
BROOKLINE, MA 02446
Psychologist (Clinical)
1180 BEACON ST
BROOKLINE, MA 02446
Physical Therapist
1180 BEACON ST, SUITE 6C
BROOKLINE, MA 02446
Nurse Practitioner (Pediatrics)
1180 BEACON ST
BROOKLINE, MA 02446
Clinic/Center (Multi-Specialty)
1180 BEACON ST, SUITE 5A
BROOKLINE, MA 02446

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 Marjorie Siegel's NPI number?

The NPI number for Marjorie Siegel is 1649365776. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Marjorie Siegel located?

Marjorie Siegel practices at 1180 Beacon St Suite 4B, Brookline, MA 02446. The listed phone number is (617) 731-0932.

What is Marjorie Siegel's specialty?

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

Is Marjorie Siegel enrolled in Medicare?

No. Marjorie Siegel has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Marjorie Siegel was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.