Individual provider Active NPI

Joanna Huntington, LICSW

  • Clinical Social Worker
  • Danvers, MA
National Provider Identifier
1376717488
Registry record updated Apr 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
115689 Issued in MA
Practice address
10 Liberty St
Suite 211
Danvers, MA 01923-2577
Phone
(781) 727-3176
Fax
(978) 682-9333
NPI assigned
Apr 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 214752 MA
Clinical Social Worker 1041C0700X 115689 MA Primary

Addresses

Primary practice location

10 Liberty St
Suite 211
Danvers, MA 01923-2577

Mailing address

5 Autumn St
Danvers, MA 01923-1524
Phone (781) 727-3176

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101214000731 MA Practitioner - Clinical Social Worker 0446447619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bridgewell, IncGroup PAC ID 6507833985, 39 clinicians

Practice addresses (Care Compare)

35 Market St
Suite 2
Lowell, MA 01852-6246
Phone (978) 459-0389

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
115689MAMDClinical Social Worker
214752MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgewell, Inc CurrentSince May 5, 2025 Accepting new patients
Bridgewell Counseling Past Accepting new patients

Locations

35 Market St
Ste 2
Lowell, MA 01852
Phone (978) 459-0389

35 Market St
Lowell, MA 01852
Phone (978) 459-0389

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303084800000",
    "number": "1376717488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 AUTUMN ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019231524",
            "telephone_number": "781-727-3176",
            "fax_number": "978-861-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 LIBERTY ST",
            "address_2": "SUITE 211",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019232577",
            "telephone_number": "781-727-3176",
            "fax_number": "978-682-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNTINGTON",
        "first_name": "JOANNA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-18",
        "last_updated": "2011-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "214752",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "115689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

Verify at the official NPI Registry.