Active NPI
Dina Mitchell Jamieson, L.I.C.S.W.
- Clinical Social Worker
- Worcester, MA
National Provider Identifier
1174959944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 113163
- Practice address
- 48 Cedar St
Worcester, MA 01609-2134 - Phone
- (508) 499-9580
- Fax
- (508) 755-8645
- NPI assigned
- Sep 24, 2013
- 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 | 113163 | MA | Primary |
Addresses
Primary practice location
48 Cedar St
Worcester, MA 01609-2134
Mailing address
48 Cedar St
Worcester, MA 01609-2134
Phone (508) 499-9580
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 |
|---|---|---|---|
| 113163 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440028800000",
"number": "1174959944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 CEDAR ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016092134",
"telephone_number": "508-499-9580",
"fax_number": "508-755-8645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48 CEDAR ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016092134",
"telephone_number": "508-499-9580",
"fax_number": "508-755-8645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMIESON",
"first_name": "DINA",
"middle_name": "MITCHELL",
"name_prefix": "Mrs.",
"credential": "L.I.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-24",
"last_updated": "2015-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "113163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.