Individual provider Active NPI

Beverley H Jouett, LICSW

  • Clinical Social Worker
  • Medford, MA
National Provider Identifier
1235182049
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
111655 Issued in MA
Practice address
10 High St
Suite 10
Medford, MA 02155-3848
Phone
(781) 395-1560
Fax
(781) 391-5564
NPI assigned
May 19, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LICSW889 NH
Clinical Social Worker 1041C0700X 111655 MA Primary

Addresses

Primary practice location

10 High St
Suite 10
Medford, MA 02155-3848

Mailing address

PO Box 311
Medford, MA 02155-0004
Phone (781) 395-1560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070601000243 MA Practitioner - Clinical Social Worker 6901904713 Practice locations: Medford, MA; Wakefield, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

91 Arlington St
Medford, MA 02155-6707
Phone (617) 710-1999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LICSW889NHMDSocial Worker
111655MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Psychiatric Care LLC PastSince Feb 3, 2026 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1235182049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 311",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021550004",
            "telephone_number": "781-395-1560",
            "fax_number": "781-391-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HIGH ST",
            "address_2": "SUITE 10",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553848",
            "telephone_number": "781-395-1560",
            "fax_number": "781-391-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOUETT",
        "first_name": "BEVERLEY",
        "middle_name": "H",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NH",
            "license": "LICSW889",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "111655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, MA

Sources for this page

Verify at the official NPI Registry.