Active NPI
Jennifer Lynne Linck, LICSW
- Clinical Social Worker
- Hyannis, MA
National Provider Identifier
1255767893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 119939
- Practice address
- 94 Man Street
Hyannis, MA 02601 - Phone
- (781) 619-8479
- Fax
- (508) 991-8082
- NPI assigned
- Sep 15, 2013
- 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 | 119939 | MA | Primary |
Addresses
Primary practice location
94 Man Street
Hyannis, MA 02601
Mailing address
P.O. Box 3064
Pocasset, MA 02559
Phone (508) 274-6986
Other names 1
- Jennifer Lynne Priebe
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221014000619 | MA | Practitioner - Clinical Social Worker | 7719276476 | Practice locations: Pocasset, MA; Yarmouth Port, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
Pocasset, MA 02559
Phone (508) 274-6986
411 Route 6a
Unit D
Yarmouth Port, MA 02675-1843
Phone (508) 274-6986
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119939 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661212800000",
"number": "1255767893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 3064",
"city": "POCASSET",
"state": "MA",
"postal_code": "02559",
"telephone_number": "508-274-6986",
"fax_number": "508-771-1208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94 MAN STREET",
"city": "HYANNIS",
"state": "MA",
"postal_code": "02601",
"telephone_number": "781-619-8479",
"fax_number": "508-991-8082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINCK",
"first_name": "JENNIFER",
"middle_name": "LYNNE",
"name_prefix": "Mrs.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-15",
"last_updated": "2022-08-23",
"certification_date": "2022-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "119939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "PRIEBE",
"middle_name": "LYNNE",
"credential": "LICSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Hyannis, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.