NPIMap

Organization Active NPI

Tiane Jennings, Licsw, PLLC

  • Community/Behavioral Health Agency
  • Medfield, MA
National Provider Identifier
1467036418
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TIANE JENNINGS, LICSW, PLLC
Practice address
3 Ledgetree Rd
Medfield, MA 02052-2109
Phone
(602) 402-9596
NPI assigned
May 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Authorized official

Name
Ms. Tiane Heather Jennings, LICSWNPI 1861677692
Title
Social Worker
Phone
(602) 402-9596

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3 Ledgetree Rd
Medfield, MA 02052-2109

Mailing address

3 Ledgetree Rd
Medfield, MA 02052-2109
Phone (602) 402-9596

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620259200000",
    "number": "1467036418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LEDGETREE RD",
            "city": "MEDFIELD",
            "state": "MA",
            "postal_code": "020522109",
            "telephone_number": "602-402-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 LEDGETREE RD",
            "city": "MEDFIELD",
            "state": "MA",
            "postal_code": "020522109",
            "telephone_number": "602-402-9596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIANE JENNINGS, LICSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-06",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "TIANE",
        "authorized_official_middle_name": "HEATHER",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "602-402-9596",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.