Individual provider Active NPI

Jennifer Joyce Noble, LICSW

  • Clinical Social Worker
  • Gloucester, MA
National Provider Identifier
1477646990
Registry record updated Dec 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
110722 Issued in MA
Practice address
7 St Anthonys Lane
Gloucester, MA 01930
Phone
(978) 283-2702
Fax
(978) 283-0743
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 110722 MA Primary

Addresses

Primary practice location

7 St Anthonys Lane
Gloucester, MA 01930

Mailing address

7 St Anthonys Lane
Gloucester, MA 01930
Phone (978) 283-2702

Other identifiers 1

IdentifierTypeStateIssuer
1851829MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20041210000229 MA Practitioner - Clinical Social Worker 8820055965 Reassigns benefits to 1 organization
Practice locations: Gloucester, MA; Lynn, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jennifer Joyce NobleGroup PAC ID 0042577249, 4 clinicians

Practice addresses (Care Compare)

7 Saint Anthonys LN
Gloucester, MA 01930-4262
Phone (978) 283-2702

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
110722MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Joyce Noble CurrentSince Oct 1, 2017 Accepting new patients
Mass General Brigham Medical Group Northern Massachusetts Inc Past Accepting new patients
Lynn Home for Elderly Persons Past Accepting new patients

Organizations & group practices 3

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451520000000",
    "number": "1477646990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 ST ANTHONYS LANE",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "01930",
            "telephone_number": "978-283-2702",
            "fax_number": "978-283-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 ST ANTHONYS LANE",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "01930",
            "telephone_number": "978-283-2702",
            "fax_number": "978-283-0743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOBLE",
        "first_name": "JENNIFER",
        "middle_name": "JOYCE",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2015-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "110722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851829",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gloucester, MA

Sources for this page

Verify at the official NPI Registry.