Active NPI
Janice Elizabeth Price, LICSW
- Clinical Social Worker
- Tyngsboro, MA
National Provider Identifier
1093801094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1030500
- Practice address
- 269 Middlesex Rd
Tyngsboro, MA 01879-1078 - Phone
- (978) 430-5811
- NPI assigned
- Oct 5, 2006
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1030500 | MA | Primary |
Addresses
Primary practice location
269 Middlesex Rd
Tyngsboro, MA 01879-1078
Mailing address
269 Middlesex Rd
Tyngsboro, MA 01879-1078
Phone (978) 430-5811
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1039790 | Other | MA | BEACON HEALTH STRATEGIES |
| 7123424 | Other | MA | AETNA |
| P07980 | Other | MA | B/C B/S OF MASSACHUSETTS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 28, 2024 through Jun 28, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1030500 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196985600000",
"number": "1093801094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "269 MIDDLESEX RD",
"city": "TYNGSBORO",
"state": "MA",
"postal_code": "018791078",
"telephone_number": "978-430-5811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "269 MIDDLESEX RD",
"city": "TYNGSBORO",
"state": "MA",
"postal_code": "018791078",
"telephone_number": "978-430-5811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "JANICE",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2007-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1030500",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEACON HEALTH STRATEGIES",
"identifier": "1039790",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7123424",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "B/C B/S OF MASSACHUSETTS",
"identifier": "P07980",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tyngsboro, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.