Active NPI
Jennifer Sue Parkhurst, LCSW
- Clinical Social Worker
- Andover, MA
National Provider Identifier
1174656334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 116717
- Practice address
- 32 Osgood St
The Professional Center for Child Development
Andover, MA 01810 - Phone
- (978) 475-3806
- Fax
- (978) 475-6288
- NPI assigned
- Mar 14, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 116717 | MA | Primary |
Addresses
Primary practice location
32 Osgood St
The Professional Center for Child Development
Andover, MA 01810
Mailing address
38 Lawrence Rd
Derry, NH 03038-4191
Phone (603) 216-2603
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 |
|---|---|---|---|
| 116717 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347926400000",
"number": "1174656334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 LAWRENCE RD",
"city": "DERRY",
"state": "NH",
"postal_code": "030384191",
"telephone_number": "603-216-2603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 OSGOOD ST",
"address_2": "THE PROFESSIONAL CENTER FOR CHILD DEVELOPMENT",
"city": "ANDOVER",
"state": "MA",
"postal_code": "01810",
"telephone_number": "978-475-3806",
"fax_number": "978-475-6288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKHURST",
"first_name": "JENNIFER",
"middle_name": "SUE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2012-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "116717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.