Active NPI
Jenna Maxfield, LICSW
- Clinical Social Worker
- Chestnut Hill, MA
National Provider Identifier
1003413584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 291 Independence Dr
Chestnut Hill, MA 02467-3628 - Phone
- (617) 541-6575
- NPI assigned
- Oct 7, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
291 Independence Dr
Chestnut Hill, MA 02467-3628
Mailing address
6150 Pierce St
Arvada, CO 80003-5336
Phone (919) 273-9508
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.atriushealth.org/patient-information/access-your-medical-records | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602028800000",
"number": "1003413584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6150 PIERCE ST",
"city": "ARVADA",
"state": "CO",
"postal_code": "800035336",
"telephone_number": "919-273-9508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "291 INDEPENDENCE DR",
"city": "CHESTNUT HILL",
"state": "MA",
"postal_code": "024673628",
"telephone_number": "617-541-6575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAXFIELD",
"first_name": "JENNA",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-07",
"last_updated": "2020-10-07",
"certification_date": "2020-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.atriushealth.org/patient-information/access-your-medical-records",
"affiliation": "N",
"endpointDescription": "Release of Information Department",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Medical Records release procedures",
"address_1": "291 Independence Dr",
"city": "Chestnut Hill",
"state": "MA",
"country_code": "US",
"postal_code": "024673628",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chestnut Hill, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.