Jenny Eileen Sandwick, MSW LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1025191 Issued in MA

Practice address

1340 Centre Street
Suite 204
Newton Center, MA 02459-2444

Phone

(617) 795-7350

Fax

(617) 795-0953

NPI assigned

Sep 27, 2007

Last updated

Sep 27, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Compassionate Care Therapy Partners

  • Psychiatric/Mental Health Nurse Practitioner
  • Newton Centre, MA
  • NPI 1306716311
  NPD (past)

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190851200000",
    "number": "1225225923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 CENTRE STREET",
            "address_2": "SUITE 204",
            "city": "NEWTON CENTER",
            "state": "MA",
            "postal_code": "024592444",
            "telephone_number": "617-795-7350",
            "fax_number": "617-795-0953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 CENTRE STREET",
            "address_2": "SUITE 204",
            "city": "NEWTON CENTER",
            "state": "MA",
            "postal_code": "024592444",
            "telephone_number": "617-795-7350",
            "fax_number": "617-795-0953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDWICK",
        "first_name": "JENNY",
        "middle_name": "EILEEN",
        "name_prefix": "Ms.",
        "credential": "MSW LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-27",
        "last_updated": "2007-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1025191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna J Raynus, LIC. AC.
• Kaitlen Anne Reyes, DNP, FNP, RN
• Ilonna J Rimm, M.D.
• JM Rimpel
• Allon Rottler
• Michael H Short, LIC. AC.
• Virginia Guptill Sigel, MSW/LICSW
• Barbara A Stewart, M.D.
• Haley Sutherland, RD
• Sally Anne Sveda, M.D.

• Clinical Social Worker in Newton Center, MA
• Providers in Newton Center, 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 27, 2007; 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.