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

Roger Waitt, LICSW

Individual provider Clinical Social Worker · NPI 1922427772

Roger Waitt, LICSW is a Clinical Social Worker in Lynn, Massachusetts. Qualified in 2016, 10 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
10
Licensed in
MA
In the registry since
2014
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

18 Broadway Cir
Lynn, MA 01904
Phone: (978) 828-7315
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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 122790 (MA)

Record details

NPI number1922427772
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedApril 9, 2014
Last updated in NPPESDecember 3, 2020
Certification dateDecember 3, 2020
Mailing addressPo Box 8029, Lynn, MA 01904-0029

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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