DAVID A. HUDDLESTON (LICSW) – Social Worker, NPI 1922087113

DAVID A. HUDDLESTON (LICSW) is a healthcare provider. based in Brighton, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 111001 (MA). The NPI Number for DAVID A. HUDDLESTON (LICSW) is 1922087113

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DAVID A. HUDDLESTON (LICSW)
NPI
1922087113
Phone
(617) 562-5550
Address
77 Warren St
Enumeration Date
16 January 2006
Last Update Date
14 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5084273000
Graduation Year
1998 (28 years ago)
PAC ID
7618908096
Group Practice PAC ID
9830133123
Professional Enrollment ID
I20050825000400
Address ID
MA023011794BR235XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

Provider Addresses for DAVID A. HUDDLESTON (LICSW)

  • 77 Warren St

    Brighton, MA 021353601

    Phone: (617) 562-5550

    Fax: (617) 562-5564

    Type: Location

  • US Family Health Plan at Brighton Marine, 77, Warren Street, Aberdeen, Allston, Boston, Suffolk County, Massachusetts, 02135, United States

    BRIGHTON, MA 021353601

    Phone: (617) 562-5550

    Fax: (617) 562-5564

    Type: Mailing

  • 960 MASSACHUSETTS AVE

    FL 2

    BOSTON, MA 02118

    Phone:

    Type: Mailing

  • 11 NEVINS ST STE 403

    BRIGHTON, MA 021353514

    Phone: (617) 789-2102

    Type: Location

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: 2005-08-25

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
I20050825000400IClinical 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 02135)

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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: 9830133123View full group profile
NameSpecialtyState
Emergency MedicineMA
Diagnostic RadiologyMA
Anesthesiology, Pain ManagementMA
Physician AssistantMA
Internal Medicine, Infectious DiseaseMA
Physician AssistantMA
Hospitalist, Internal MedicineMA
Pulmonary Disease, Infectious DiseaseMA
Pulmonary Disease, Critical Care (Intensivists)MA
Physician AssistantMA

Reviews

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Frequently asked questions

What is the standard ID for DAVID A. HUDDLESTON (LICSW) in the U.S.?
In the U.S., DAVID A. HUDDLESTON (LICSW) is identified by NPI 1922087113.
Does the public listing show DAVID A. HUDDLESTON (LICSW) as active?
DAVID A. HUDDLESTON (LICSW)'s NPI record reflects an active status in NPPES.
Which specialty label fits DAVID A. HUDDLESTON (LICSW)?
NPPES ties DAVID A. HUDDLESTON (LICSW) to Social Worker in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to DAVID A. HUDDLESTON (LICSW)?
The directory associates DAVID A. HUDDLESTON (LICSW) with Brighton, Massachusetts. Check all listed addresses for suites or satellite offices.
Who maintains DAVID A. HUDDLESTON (LICSW)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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