Organization Active NPI

Jessica Zieky Licsw LLC

  • Adult Mental Health Clinic/Center
  • Needham, MA
National Provider Identifier
1295694925
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
JESSICA ZIEKY LICSW LLC
Practice address
11 Robinwood Ave
Needham, MA 02492-2112
Phone
(508) 492-5020
NPI assigned
Jan 19, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Authorized official

Name
Jessica Tye Zieky, LICSWNPI 1679723639
Title
Owner
Phone
(857) 829-0089

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
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

11 Robinwood Ave
Needham, MA 02492-2112

Mailing address

11 Robinwood Ave
Needham, MA 02492-2112
Phone (508) 492-5020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260313000265 MA Part B Supplier - Clinic/Group Practice 1254814692 Receives reassigned benefits from 1 practitioner
Practice locations: Needham, MA

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": "1768780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768780800000",
    "number": "1295694925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 ROBINWOOD AVE",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024922112",
            "telephone_number": "508-492-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 ROBINWOOD AVE",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024922112",
            "telephone_number": "508-492-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA ZIEKY LICSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-19",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A",
        "authorized_official_last_name": "ZIEKY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "TYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "857-829-0089",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Needham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.