Active NPI
Jill Stanzler-Katz, LICSW
- Clinical Social Worker
- Hingham, MA
National Provider Identifier
1194808550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 105838
- Practice address
- 175 Derby St
Suite 2
Hingham, MA 02043-4007 - Phone
- (781) 749-9227
- Fax
- (781) 740-0233
- NPI assigned
- Oct 21, 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 | 105838 | MA | Primary |
Addresses
Primary practice location
175 Derby St
Suite 2
Hingham, MA 02043-4007
Mailing address
175 Derby St
Suite 2
Hingham, MA 02043-4007
Phone (781) 749-9227
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 711887 | Other | MA | TUFTS HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2024 through Apr 1, 2028
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
251 Temple St
West Roxbury, MA 02132-3806
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105838 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194808550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 DERBY ST",
"address_2": "SUITE 2",
"city": "HINGHAM",
"state": "MA",
"postal_code": "020434007",
"telephone_number": "781-749-9227",
"fax_number": "781-740-0233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 DERBY ST",
"address_2": "SUITE 2",
"city": "HINGHAM",
"state": "MA",
"postal_code": "020434007",
"telephone_number": "781-749-9227",
"fax_number": "781-740-0233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANZLER-KATZ",
"first_name": "JILL",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "105838",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "711887",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hingham, MA
- South Shore Psychiatric and Psychological Associates
- South Shore Psychological Services, LLC
- Anne E Spang, APRN, BC
- Sport and Spine Chiropractic PC
- Magenecka Doudeline St-Hubert
- Harriet Stathis-Ubertalli, DDS
- Eric G. Steeves, LICSW
- Douglas William Stewart, DMD
- Jennifer Anne Stone
- Richard W Strecker, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.