Jill a. Grace Hersch, Licsw, PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

JILL A. GRACE HERSCH, LICSW, PC

Practice address

3 Community Rd
Marblehead, MA 01945-2706

Phone

(541) 488-0883

Fax

(541) 488-0893

NPI assigned

Dec 10, 2024

Organization subpart

No

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

Authorized official

Name

Jill Alison Grace Hersch, LICSWNPI 1992858997

Title

President

Phone

(541) 488-0883

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jill A. Grace Hersch, L.C.S.W.

  • Clinical Social Worker
  • Marblehead, MA
  • NPI 1992858997
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1733788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1376359778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 COMMUNITY RD",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019452706",
            "telephone_number": "541-488-0883",
            "fax_number": "541-488-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 COMMUNITY RD",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019452706",
            "telephone_number": "541-488-0883",
            "fax_number": "541-488-0893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL A. GRACE HERSCH, LICSW, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-10",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "GRACE HERSCH",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "ALISON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-488-0883",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Christopher Joaquim, EDD, MS, LMHC
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• Clinical Social Worker in Marblehead, MA
• Providers in Marblehead, 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 Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.