Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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John Augustus Northridge, LICSW

Individual provider Clinical Social Worker · NPI 1174586168

John Augustus Northridge, LICSW is a Clinical Social Worker in South Boston, Massachusetts. Qualified in 1979, 47 years ago. Practices with Health and Human Services LLC, a 10-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
47
Licensed in
MA
In the registry since
2006
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

58 Old Colony Ave
South Boston, MA 02127-2406
Phone: (617) 268-1700
Fax: (617) 268-1991
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 105237 (MA)

Record details

NPI number1174586168
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedApril 10, 2006
Last updated in NPPESJuly 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1979 (47 years in practice)
Group practice Health And Human Services Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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