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MS. MIMI SOHN LICHT LICSW, BCD
NPI 1700811528
Social Worker - Clinical in Wayland, MA

Active since July 11, 2006Opted out of Medicare · through Jan 1, 2027
219 CONCORD RD, WAYLAND, MA 01778(508) 358-5706 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Mimi Sohn Licht Licsw, Bcd NPPES

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

MS. MIMI SOHN LICHT LICSW, BCD (NPI 1700811528) is an individual clinical provider in Wayland, Massachusetts, licensed in Massachusetts (102126) and active in the NPI registry since July 2006. She has opted out of Medicare through January 1, 2027 and remains eligible to order and refer and is a graduate of Other (1972).

NPPES Registry Identity

NPI1700811528
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. MIMI SOHN LICHTCredential: LICSW, BCD
Location Address219 CONCORD RDWayland, MA 01778-1207
Mailing Address219 Concord RdWayland, MA 01778-1207 · (508) 358-5706
Phone(508) 358-5706
Sole ProprietorYes
Medical School CMSOtherGraduated 1972
Enumeration DateJuly 11, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1700811528 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 · 102126
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.
219 CONCORD RD, Wayland, MA 01778
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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.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Ms. Mimi Sohn Licht Licsw, Bcd 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 1, 2019 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2019
Opt-Out In Effect ThroughJanuary 1, 2027Opt-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 01778 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 Mimi Licht's NPI number?

The NPI number for Mimi Licht is 1700811528. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Mimi Licht located?

Mimi Licht practices at 219 Concord Rd, Wayland, MA 01778. The listed phone number is (508) 358-5706.

What is Mimi Licht's specialty?

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

Is Mimi Licht enrolled in Medicare?

No. Mimi Licht has opted out of Medicare through January 1, 2027. 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 Mimi Licht accept?

Health plans from Anthem Blue Cross and Blue Shield list Mimi Licht 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 Mimi Licht 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.