Jennifer L Whipple, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

114815 Issued in MA

Practice address

4 Windsor Dr
Ashland, MA 01721-2008

Phone

(617) 283-0002

NPI assigned

Apr 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jennifer L Kirk Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1336363183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WINDSOR DR",
            "city": "ASHLAND",
            "state": "MA",
            "postal_code": "017212008",
            "telephone_number": "617-283-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WINDSOR DR",
            "city": "ASHLAND",
            "state": "MA",
            "postal_code": "017212008",
            "telephone_number": "617-283-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHIPPLE",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "114815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "003145301",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "KIRK",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Town of Ashland
• Mark W Unger, C.S.
• Walgreen Co
• Walgreen Co
• Waterview Lodge LLC
• Maura F. White, PHYSICAL THERAPIST
• Paula Anne Wisnewski, LICSW
• John William Zarrella, DMD
• Karen Zelinsky
• Zen Family Dental

• Clinical Social Worker in Ashland, MA
• Providers in Ashland, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.