Active NPI
Jacqueline Yolanda Nolan, LCSW
- Social Worker
- Winchester, MA
National Provider Identifier
1073156659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 219704
- Practice address
- 16 Sussex Rd
Winchester, MA 01890-3849 - Phone
- (781) 721-5814
- NPI assigned
- Oct 25, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 219704 | MA | Primary |
Addresses
Primary practice location
16 Sussex Rd
Winchester, MA 01890-3849
Mailing address
16 Sussex Rd
Winchester, MA 01890-3849
Phone (781) 721-5814
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 |
|---|---|---|---|
| 219704 | MA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571961600000",
"number": "1073156659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 SUSSEX RD",
"city": "WINCHESTER",
"state": "MA",
"postal_code": "018903849",
"telephone_number": "781-721-5814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 SUSSEX RD",
"city": "WINCHESTER",
"state": "MA",
"postal_code": "018903849",
"telephone_number": "781-721-5814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLAN",
"first_name": "JACQUELINE",
"middle_name": "YOLANDA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-25",
"last_updated": "2019-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "219704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winchester, MA
- New England Inpatient Specialists LLC
- New England Pain Associates
- New England Pain Associates, PC
- New England Wellness & Pain Management PC
- Lan Quynh Nguyen, PHARM.D
- Richard David Norberg, D.M.D.
- North Shore Radiological Associates, Inc.
- Suzanne Marie Norton, LICSW
- Sepideh Fouladi Novid, DMD
- Nsra III
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.