Mimi Sohn Licht, LICSW, BCD
NPI 1700811528ActiveIndividual· Social Worker, Clinical· Wayland, MA
Opted out of Medicare from January 2019 to January 2027. Social Worker, Clinical (LICSW, BCD) in Wayland, Massachusetts, licensed in MA, with an NPI issued in July 2006.
Overview
| NPI | 1700811528 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICSW, BCD |
| Sole proprietor | Yes |
| NPI issued | Jul 11, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 102126 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Jan 1, 2019 – Jan 1, 2027 |
| Can order and refer | Yes |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Education and affiliations
| Graduation year | 1972 |
|---|---|
| Medicare specialty | Clinical Social Worker |
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All 31 clinical social workers in Wayland · All clinical social workers in Massachusetts