Jeri A Field, LICSW
Individual provider Active NPI Clinical Social Worker · Haverhill, MA
NPI 1053455246 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1053455246
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 113263 (MA)
- Practice address
- 60 Merrimack St
Haverhill, MA 01830-6207 - Phone
- (978) 373-1126
- NPI assigned
- Feb 19, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Wilmington Family Counseling Service Inc
Practice addresses (Care Compare)
5 Middlesex Ave
Unit 11
Wilmington, MA 01887-2745
Phone (978) 658-9889
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060407000609 | MA | Practitioner - Clinical Social Worker | 1951318625 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Behavioral Health Corporation | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 113263 | MA | Yes |
Addresses
Primary practice location
60 Merrimack St
Haverhill, MA 01830-6207
Mailing address
60 Merrimack St
Haverhill, MA 01830-6207
Phone (978) 373-1126
Other providers in Haverhill, MA
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- Kerry Fenlon
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- Lilliana Fermin
- Elizabeth Ferrara
- Eric Fila
- Alexandra Filippakis
- Iris Filomeno
- Maria Imaculada Finn
- Kelly A Finnerty
All providers in Haverhill, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.