Jennifer Elizabeth Gibbons, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

119318 Issued in MA

Practice address

7000 Great Meadow Rd FL 2
Dedham, MA 02026-4090

Phone

(781) 234-9671

Fax

(781) 234-9644

NPI assigned

Dec 21, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Supportive Behavioral Care of Mass LLC 49 clinicians

Supportive Behavioral Care of Ma LLC 103 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Supportive Behavioral Care of Ma LLC

  • Clinical Psychologist
  • Needham, MA
  • NPI 1780115519

  MA

  Medicare reassignment Care Compare group NPD
• Supportive Behavioral Care of Mass LLC

  • Psychologist
  • Stoneham, MA
  • NPI 1932914223

  Clinical, MA

  Medicare reassignment Care Compare group NPD
• Hudson Home Health Care, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Augusta, ME
  • NPI 1659162717
  NPD (past)

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

{
    "created_epoch": "1545350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545350400000",
    "number": "1376015883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 GREAT MEADOW RD FL 2",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020264090",
            "telephone_number": "781-234-9671",
            "fax_number": "781-234-9644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 GREAT MEADOW RD FL 2",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020264090",
            "telephone_number": "781-234-9671",
            "fax_number": "781-234-9644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBONS",
        "first_name": "JENNIFER",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-21",
        "last_updated": "2018-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "119318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gennew Inc.
• Matthew Germano
• Lenore Giacalone
• Maria Eden Aguilar Gianan, NP
• Lisa Gianatasio
• Nathalie Gil
• Thomas J. Gill IV, M.D.
• Andrew J Gillies, MD
• Allison Gilmer, FNP-BC
• Joseph Fraser Gilmore

• All providers in Dedham, MA
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.