Jessica Caron Reynolds, LICSW
Individual provider Active NPI Clinical Social Worker · Hardwick, MA
NPI 1417465725 · NPPES record last updated Jul 23, 2026
Key facts
- NPI
- 1417465725
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 116682 (MA)
- Practice address
- 242 Old Petersham Rd
Hardwick, MA 01037-9200 - Phone
- (413) 497-9316
- NPI assigned
- Jan 21, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116682 | MA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 116682 | MA | Yes |
Addresses
Primary practice location
242 Old Petersham Rd
Hardwick, MA 01037-9200
Mailing address
PO Box 234
West Warren, MA 01092-0234
Phone (413) 351-1267
Other names
- Miss Jessica Caron Danforth
Other providers in Hardwick, MA
All providers in Hardwick, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.