Active NPI
Jennifer Lynn Sheng, LICSW
- Clinical Social Worker
- Belmont, MA
National Provider Identifier
1417358326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 122920
- Practice address
- 24 Knox St
Belmont, MA 02478-2627 - Phone
- (781) 208-2779
- NPI assigned
- Sep 10, 2014
- Sex
- Female
- Sole proprietor
- No
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 | 122920 | MA | Primary |
Addresses
Primary practice location
24 Knox St
Belmont, MA 02478-2627
Mailing address
24 Knox St
Belmont, MA 02478-2627
Phone (570) 417-8934
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000023532 | Other | MA | BMC |
| 042611055 | Other | MA | TAX ID |
| 1303287 | Other | MA | MBHP |
| M18633 | Other | MA | BCBS |
| 99618201 | Other | MA | NETWORK HEALTH |
| 1303287 | Medicaid | MA | |
| 1004745 | Other | MA | NHP |
Other names 1
- Jennifer Lynn Hicks
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 7, 2024 through Feb 7, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 122920 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Edinburg Center Inc | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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": "1410307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617235200000",
"number": "1417358326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 KNOX ST",
"city": "BELMONT",
"state": "MA",
"postal_code": "024782627",
"telephone_number": "570-417-8934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 KNOX ST",
"city": "BELMONT",
"state": "MA",
"postal_code": "024782627",
"telephone_number": "781-208-2779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHENG",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-10",
"last_updated": "2021-04-01",
"certification_date": "2020-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "122920",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC",
"identifier": "0000023532",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "042611055",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MBHP",
"identifier": "1303287",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "M18633",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH",
"identifier": "99618201",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1303287",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHP",
"identifier": "1004745",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "HICKS",
"middle_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Belmont, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.