Active NPI
Jennifer Pugh
- Clinical Social Worker
- Needham, MA
National Provider Identifier
1336572288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 121251
- Practice address
- 163 Highland Ave # 1093
Needham, MA 02494-3025 - Phone
- (781) 474-2258
- NPI assigned
- Aug 14, 2013
- Sex
- Female
- Sole proprietor
- No
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 | 121251 | MA | Primary |
Addresses
Primary practice location
163 Highland Ave # 1093
Needham, MA 02494-3025
Mailing address
163 Highland Ave # 1093
Needham, MA 02494-3025
Phone (781) 474-2258
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121251 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JP Psychotherapy LLC | Current | Accepting new patients |
Locations
163 Highland Ave
#1093
Needham, MA 02494
Phone (781) 474-2258
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Needham, MA
- NPI 1386372431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712016000000",
"number": "1336572288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "163 HIGHLAND AVE # 1093",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024943025",
"telephone_number": "781-474-2258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 HIGHLAND AVE # 1093",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024943025",
"telephone_number": "781-474-2258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUGH",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-14",
"last_updated": "2024-04-02",
"certification_date": "2024-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "121251",
"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 Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.