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

MS. Mimi Sohn Licht, LICSW, BCD

Individual provider Clinical Social Worker · NPI 1700811528

MS. Mimi Sohn Licht, LICSW, BCD is a Clinical Social Worker in Wayland, Massachusetts. Qualified in 1972, 54 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
54
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

219 Concord Rd
Wayland, MA 01778-1207
Phone: (508) 358-5706
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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 102126 (MA)

Record details

NPI number1700811528
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW , BCD
Sole proprietorYes
NPI enumeratedJuly 11, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1972 (54 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wayland