Andover Social Development and Counseling Center

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ANDOVER SOCIAL DEVELOPMENT AND COUNSELING CENTER

Practice address

89 N Main St Ste 3
Andover, MA 01810-3581

Phone

(978) 771-6428

NPI assigned

Sep 24, 2018

Last updated

Sep 24, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Jennifer Ann Rogers-Burke, LICSWNPI 1861910275

Title

Owner/ Director

Phone

(978) 077-1642

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Ann Rogers-Burke, LICSW

  • Clinical Social Worker
  • Andover, MA
  • NPI 1861910275
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537747200000",
    "number": "1215411376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 N MAIN ST STE 3",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018103581",
            "telephone_number": "978-771-6428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 N MAIN ST STE 3",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018103581",
            "telephone_number": "978-771-6428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDOVER SOCIAL DEVELOPMENT AND COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-24",
        "last_updated": "2018-09-24",
        "status": "A",
        "authorized_official_last_name": "ROGERS-BURKE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/ DIRECTOR",
        "authorized_official_telephone_number": "978-077-1642",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861910275",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andover Optometry on Central LLC (Andover Optometry on Central)
• Andover Periodontics, PC
• Andover Podiatry PC
• Andover Psychiatric PC
• Andover Smiles
• Andover Spine Center
• Andover Surgery Center, LP
• Andover Surgical Associates, Inc.
• Andover Surgical Associates, LLC
• Andover Therapy Services LLC

• Clinical Social Worker in Andover, MA
• Providers in Andover, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.