NPIMap

Organization Active NPI

Jennifer Patricia Faretra

  • Clinical Social Worker
  • Wilmington, MA
National Provider Identifier
1023852365
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JENNIFER PATRICIA FARETRA
Practice address
11 Middlesex Ave Unit 8
Wilmington, MA 01887-2746
Phone
(978) 587-7651
NPI assigned
Jun 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Jennifer P Faretra, LICSWNPI 1063164788
Title
Owner
Phone
(978) 587-7651

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

11 Middlesex Ave Unit 8
Wilmington, MA 01887-2746

Mailing address

11 Middlesex Ave Unit 8
Wilmington, MA 01887-2746
Phone (978) 587-7651

Other names 1

  • Faretra Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

11 Middlesex Ave
Unit 8
Wilmington, MA 01887
Phone (978) 587-7651

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1023852365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MIDDLESEX AVE UNIT 8",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018872746",
            "telephone_number": "978-587-7651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MIDDLESEX AVE UNIT 8",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018872746",
            "telephone_number": "978-587-7651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER PATRICIA FARETRA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A",
        "authorized_official_last_name": "FARETRA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-587-7651",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Faretra Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.