Active NPI
Jean Marie Deschene, LCSW
- Social Worker
- Salem, MA
National Provider Identifier
1225261852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 206391
- Practice address
- 10 Greenway Road
Salem, MA 01970-2868 - Phone
- (978) 744-3420
- Fax
- (978) 744-3420
- NPI assigned
- Aug 31, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 206391 | MA | Primary |
| Specialist | 174400000X | 206391 | MA |
Addresses
Primary practice location
10 Greenway Road
Salem, MA 01970-2868
Mailing address
10 Greenway Road
Salem, MA 01970-2868
Phone (978) 744-3420
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LICENSE # 206391 | Other | MA | COMM. OF MA DIVISON OF PROFESSIONAL LICENSURE |
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 |
|---|---|---|---|
| 206391 | MA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251676800000",
"number": "1225261852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 GREENWAY ROAD",
"city": "SALEM",
"state": "MA",
"postal_code": "019702868",
"telephone_number": "978-744-3420",
"fax_number": "978-744-3420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 GREENWAY ROAD",
"city": "SALEM",
"state": "MA",
"postal_code": "019702868",
"telephone_number": "978-744-3420",
"fax_number": "978-744-3420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESCHENE",
"first_name": "JEAN",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-31",
"last_updated": "2009-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "206391",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MA",
"license": "206391",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMM. OF MA DIVISON OF PROFESSIONAL LICENSURE",
"identifier": "LICENSE # 206391",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salem, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.