Active NPI
Jennifer A Scott, LICSW
- Clinical Social Worker
- Reading, MA
National Provider Identifier
1306983457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 110434
- Practice address
- 22 Woburn St.
Suite 26
Reading, MA 01867 - Phone
- (774) 392-1292
- Fax
- (781) 287-9556
- NPI assigned
- Jan 30, 2007
- 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 | 110434 | MA | Primary |
Addresses
Primary practice location
22 Woburn St.
Suite 26
Reading, MA 01867
Mailing address
22 Woburn St.
Suite 26
Reading, MA 01867
Phone (774) 392-1292
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447632000000",
"number": "1306983457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 WOBURN ST.",
"address_2": "SUITE 26",
"city": "READING",
"state": "MA",
"postal_code": "01867",
"telephone_number": "774-392-1292",
"fax_number": "781-287-9556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 WOBURN ST.",
"address_2": "SUITE 26",
"city": "READING",
"state": "MA",
"postal_code": "01867",
"telephone_number": "774-392-1292",
"fax_number": "781-287-9556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "JENNIFER",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2015-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "110434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reading, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.