Jacquelyn Andrews, MSW, LICSW
Individual provider Active NPI Clinical Social Worker · Amherst, MA
NPI 1467007203 · NPPES record last updated Oct 12, 2023
Key facts
- NPI
- 1467007203
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 120204 (MA)
- Practice address
- 495 West St Unit 1C
Amherst, MA 01002-3379 - Phone
- (413) 426-1793
- NPI assigned
- Aug 8, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 120204 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holyoke Pediatric Associates, LLP | Past |
Accepting new patients | |
| Handel Behavioral Health Services Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 120204 | MA | Yes |
| Social Worker | 104100000X | 120204 | MA |
Addresses
Primary practice location
495 West St Unit 1C
Amherst, MA 01002-3379
Mailing address
495 West St Unit 1C
Amherst, MA 01002-3379
Phone (413) 426-1793
Other providers in Amherst, MA
- Amity Medical Associates
- Amity Medical Group, Inc.
- Ruth Anderson-Zabre
- Carol J. Anderson
- Donna Jean Anderson
- Toni L Andrews
- Mary V Andrianopoulos
- Ap Psychotherapy and Consulting
- Applied Behavioral Analysis Services
- Katherine G Appy
All providers in Amherst, 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 Oct 12, 2023. 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.