NICOLE PEREZ ELIAS (LCSW) – Clinical Social Worker, NPI 1114634870

NICOLE PEREZ ELIAS (LCSW) is a healthcare provider. based in Waltham, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 128389 (MA). The NPI Number for NICOLE PEREZ ELIAS (LCSW) is 1114634870

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE PEREZ ELIAS (LCSW)
NPI
1114634870
Phone
(617) 405-5735
Address
281 WINTER ST STE 340
Enumeration Date
2 November 2022
Last Update Date
15 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7816460500
Graduation Year
2021 (5 years ago)
PAC ID
4880118470
Group Practice PAC ID
5991763823
Professional Enrollment ID
I20250404000458
Address ID
MA024518760WA281XXSTXX301

Contacts

Other Endpoint
unknown
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness95
Years active:3State licenses:1Other names

4,194 CLINICAL SOCIAL WORKER in MA

Provider Addresses for NICOLE PEREZ ELIAS (LCSW)

  • 281 WINTER ST STE 340

    WALTHAM, MA 024518766

    Phone: (617) 405-5735

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250404000458IClinical Social WorkerMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02451)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991763823View full group profile

Reviews

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Frequently asked questions

Is there an official ID for NICOLE PEREZ ELIAS (LCSW) in U.S. healthcare records?
The official identifier for NICOLE PEREZ ELIAS (LCSW) is NPI 1114634870.
Is NICOLE PEREZ ELIAS (LCSW) still an active registrant?
NICOLE PEREZ ELIAS (LCSW) carries an active NPI according to the public dataset.
How would a patient describe NICOLE PEREZ ELIAS (LCSW)'s focus?
For NICOLE PEREZ ELIAS (LCSW), the primary taxonomy reads as Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is NICOLE PEREZ ELIAS (LCSW) located near Waltham?
NICOLE PEREZ ELIAS (LCSW) currently maps to Waltham, Massachusetts in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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