Jody Jansen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC#5633 Issued in ME

Practice address

62 Portland Rd
Post Road Center Suite 6
Kennebunk, ME 04043-6658

Phone

(207) 251-9118

NPI assigned

Jan 23, 2007

Sex

Female

Sole proprietor

Yes

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 ME

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, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

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.

• Jody Jansen LCSW LLC

  • Clinical Social Worker
  • Kennebunk, ME
  • NPI 1871999193
  Medicare reassignment NPD Authorized official
• Nannette Nero Zuke, LMFT, LLC

  • Marriage & Family Therapist
  • Kennebunk, ME
  • NPI 1700286721
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353024000000",
    "number": "1407901473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 RICHARDS AVE",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015276",
            "telephone_number": "207-251-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 PORTLAND RD",
            "address_2": "POST ROAD CENTER SUITE 6",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040436658",
            "telephone_number": "207-251-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANSEN",
        "first_name": "JODY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2012-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC#5633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen E Indorf, MSW, LCSW
• Internal Medicine of Southern Maine, LLC
• Michael R Ireland, FNP-C
• Megan Elise Jackins, CCC-SLP
• James R Cormier DMD LLC PA (Mousam River Dentistry)
• Cailen Jennings
• Jody Jansen LCSW LLC
• John P Gmeiner, PHD, PA
• Alla Johnson, SLP/CF
• Jonathan Shill MD

• Clinical Social Worker in Kennebunk, ME
• Providers in Kennebunk, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; 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.