NPIMap

Organization Active NPI

Jennifer Schneider, Licsw, LLC

  • Community/Behavioral Health Agency
  • Watertown, MA
National Provider Identifier
1285275545
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
JENNIFER SCHNEIDER, LICSW, LLC
Practice address
126 Main St.
#672
Watertown, MA 02472-2345
Phone
(617) 612-5944
NPI assigned
Oct 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

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

Authorized official

Name
Jennifer SchneiderNPI 1740584192
Title
Owner
Phone
(617) 612-5944

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

126 Main St.
#672
Watertown, MA 02472-2345

Mailing address

126 Main St.
#672
Watertown, MA 02472-2345
Phone (617) 612-5944

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.simplepractice.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627603200000",
    "number": "1285275545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 MAIN ST.",
            "address_2": "#672",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024722345",
            "telephone_number": "617-612-5944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 MAIN ST.",
            "address_2": "#672",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024722345",
            "telephone_number": "617-612-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER SCHNEIDER, LICSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-07",
        "last_updated": "2021-07-30",
        "certification_date": "2021-04-08",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-612-5944"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "EHR/EMR used for secure HIPAA compliant data management and messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "58 Cuba St",
            "city": "Watertown",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024722345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Watertown, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; 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.