Active NPI
Jill Michelle Sabatine, MSW
- Social Worker
- Cambridge, MA
National Provider Identifier
1023168333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ISW01703
- Practice address
- 75 Mount Auburn St
Cambridge, MA 02138-4960 - Phone
- (617) 495-7872
- NPI assigned
- Jan 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | ISW01703 | RI | Primary |
| Clinical Social Worker | 1041C0700X | 122426 | MA |
Addresses
Primary practice location
75 Mount Auburn St
Cambridge, MA 02138-4960
Mailing address
54 University Ave
Providence, RI 02906-4126
Phone (401) 621-2246
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ISW01703 | RI | MD | Social Worker |
| 122426 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576022400000",
"number": "1023168333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 UNIVERSITY AVE",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029064126",
"telephone_number": "401-621-2246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 MOUNT AUBURN ST",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021384960",
"telephone_number": "617-495-7872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABATINE",
"first_name": "JILL",
"middle_name": "MICHELLE",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-11",
"last_updated": "2019-12-11",
"certification_date": "2019-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "RI",
"license": "ISW01703",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "122426",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.