Active NPI
Jason Healy, LICSW
- Clinical Social Worker
- Jamaica Plain, MA
National Provider Identifier
1346404738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 117209
- Practice address
- 16 Greenview Ave
Jamaica Plain, MA 02130-2573 - Phone
- (413) 977-2402
- NPI assigned
- Jul 15, 2008
- Sex
- Male
- 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 | 117209 | MA | Primary |
Addresses
Primary practice location
16 Greenview Ave
Jamaica Plain, MA 02130-2573
Mailing address
153 South St
Somerville, MA 02143-4297
Phone (413) 977-2402
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 117209 | Other | MA | COMMONWEALTH OF MASSACHUSETTS |
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": "1216080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553299200000",
"number": "1346404738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "153 SOUTH ST",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021434297",
"telephone_number": "413-977-2402",
"fax_number": "617-863-5422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 GREENVIEW AVE",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "021302573",
"telephone_number": "413-977-2402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEALY",
"first_name": "JASON",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-15",
"last_updated": "2019-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "117209",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMONWEALTH OF MASSACHUSETTS",
"identifier": "117209",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica Plain, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.