JOSE NIEVES LCSW
NPI 1669609319
Social Worker - Clinical in Marlborough, MA

Active since June 19, 2009PECOS EnrolledAccepts Medicare Assignment
28 LORD RD STE 215, MARLBOROUGH, MA 01752(781) 666-2711(781) 666-2712 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jose Nieves Lcsw NPPES

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

JOSE NIEVES LCSW (NPI 1669609319) is an individual clinical provider in Marlborough, Massachusetts, licensed in Massachusetts (218474) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, maintains a secondary practice location in Lowell, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1669609319
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJOSE NIEVESCredential: LCSW
Location Address28 LORD RD STE 215Marlborough, MA 01752-4549
Mailing Address28 Lord Rd Ste 215Marlborough, MA 01752-4549 · (781) 666-2711 · Fax (781) 666-2712
Fax(781) 666-2712
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 19, 2009
Last NPPES UpdateJuly 16, 2026
NPPES CertifiedJuly 16, 2026
✔ NPI 1669609319 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 · 218474
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.
28 LORD RD STE 215, Marlborough, MA 01752

Secondary Practice Location 1

Location 197 Central St, Suite 207Lowell, MA 01852-1917 · Phone (978) 735-3529 · Fax (978) 452-0054

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jose Nieves Lcsw 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 ID2062809098
PECOS Enrollment IDI20220421002265
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 Jose Nieves reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community/Behavioral Health
63 EDDIE DOWLING HWY STE 8
North Smithfield, RI 02896
  • Reassigned Medicare billing, Massachusetts enrollment
  • 54 clinicians in this Medicare group
Psychiatry
226 FIELD ST
New Bedford, MA 02740
  • Reassigned Medicare billing, Massachusetts enrollment
  • 196 clinicians in this Medicare group

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 01752 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 9

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

Nurse Practitioner (Psychiatric/Mental Health)
28 LORD RD STE 215
MARLBOROUGH, MA 01752
Social Worker (Clinical)
28 LORD RD STE 215
MARLBOROUGH, MA 01752
Counselor (Mental Health)
28 LORD RD STE 215
MARLBOROUGH, MA 01752
Nurse Practitioner (Psychiatric/Mental Health)
28 LORD RD STE 215
MARLBOROUGH, MA 01752
Nurse Practitioner (Psychiatric/Mental Health)
28 LORD RD STE 215
MARLBOROUGH, MA 01752
Nurse Practitioner (Psychiatric/Mental Health)
28 LORD RD STE 215
MARLBOROUGH, MA 01752
Social Worker (Clinical)
28 LORD RD STE 215
MARLBOROUGH, MA 01752
Physician Assistant
28 LORD RD STE 215
MARLBOROUGH, MA 01752

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 Jose Nieves's NPI number?

The NPI number for Jose Nieves is 1669609319. It was assigned to this individual provider in the NPPES registry on June 19, 2009.

Where is Jose Nieves located?

Jose Nieves practices at 28 Lord Rd Ste 215, Marlborough, MA 01752. The listed phone number is (781) 666-2711.

What is Jose Nieves's specialty?

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

Is Jose Nieves enrolled in Medicare?

Yes. Jose Nieves 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.

Which organizations bill Medicare for Jose Nieves's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Nieves reassigns Medicare benefits to 2 organizations: Spectrum Neuro Behavioral Care LLC (North Smithfield, RI) and Boston Neurobehavioral Associates, LLC (New Bedford, 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 Jose Nieves's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jose Nieves accept?

Health plans from Harvard Pilgrim Health Care list Jose Nieves 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 Jose Nieves was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.