Individual provider Active NPI

Jill Kathleen O'Brien, LICSW

  • Clinical Social Worker
  • E Sandwich, MA
National Provider Identifier
1326349515
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
117641 Issued in MA
Practice address
311 Service Rd
Spaulding Rehab Hospital Cape Cod
E. Sandwich, MA 02537
Phone
(508) 833-4125
Fax
(508) 833-4203
NPI assigned
Nov 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 117641 MA Primary

Addresses

Primary practice location

311 Service Rd
Spaulding Rehab Hospital Cape Cod
E. Sandwich, MA 02537

Mailing address

37 Tananger Rd
Plymouth, MA 02360-2656
Phone (085) 776-8549

Other names 1

  • Jill Kathleen Dulmaine Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 1, 2026 through Jun 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
117641MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1326349515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 TANANGER RD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023602656",
            "telephone_number": "085-776-8549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 SERVICE RD",
            "address_2": "SPAULDING REHAB HOSPITAL CAPE COD",
            "city": "E. SANDWICH",
            "state": "MA",
            "postal_code": "02537",
            "telephone_number": "508-833-4125",
            "fax_number": "508-833-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "JILL",
        "middle_name": "KATHLEEN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-04",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "117641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "DULMAINE",
            "middle_name": "KATHLEEN",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in E Sandwich, MA

Sources for this page

Verify at the official NPI Registry.