Janice A Peneno, LICSW, BCD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1018819 Issued in MA

Practice address

67 Coddington St
Suite 202
Quincy, MA 02169-4511

Phone

(617) 867-9227

Fax

(617) 328-6277

NPI assigned

Aug 23, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mayflower Audiology, LLC

  • Audiologist
  • Quincy, MA
  • NPI 1548679624
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043327455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 CODDINGTON ST",
            "address_2": "SUITE 202",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694511",
            "telephone_number": "617-867-9227",
            "fax_number": "617-328-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 CODDINGTON ST",
            "address_2": "SUITE 202",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694511",
            "telephone_number": "617-867-9227",
            "fax_number": "617-328-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENENO",
        "first_name": "JANICE",
        "middle_name": "A",
        "credential": "LICSW, BCD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1018819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1859382",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "P06709",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pediatric Speech and Language LLC
• Kristin G Pelfrey, M.A.
• Katerina Pellino, DMD
• Pelly Chang,DMD,PC
• Dana Pemberton, D.C
• Shaue-Fung C Peng
• Kristen J Penney, NURSE PRACTITIONER
• Tamara M Penton-Chester, M. ED
• Amanda Perkins
• Wynn A Perlick, DPM

• Clinical Social Worker in Quincy, MA
• Providers in Quincy, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.