JG Therapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

101397 Issued in MA

Legal business name

JG THERAPY LLC

Practice address

79 North St
Lexington, MA 02420-1811

Phone

(781) 862-9482

NPI assigned

Aug 17, 2012

Organization subpart

No

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

Authorized official

Name

Joan Goldmann, LICSW

Title

Member

Phone

(781) 862-9482

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1345161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345161600000",
    "number": "1497003792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 NORTH ST",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024201811",
            "telephone_number": "781-862-9482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 NORTH ST",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024201811",
            "telephone_number": "781-862-9482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JG THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-17",
        "last_updated": "2012-08-17",
        "status": "A",
        "authorized_official_last_name": "GOLDMANN",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "781-862-9482",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "101397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD INDIVIDUAL NPI GIVEN TO SOLE PROVIDER IN JG THERAPY LLC",
            "identifier": "1629117056",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LEGACY # FOR INDIVIDUAL PROVIDER IN JG THERAPY LLC",
            "identifier": "P01571",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Jenkins, OTR/L
• Haley Jenkinson, RN
• Jennie Steinberg LMHC LLC
• Jerry Wacks, MD
• JG Home Health Care Services LLC (Interim HealthCare Inc)
• Jgtherapy
• Shivkumar H Jha, MD
• Ke Jiang
• Jill Furumoto (Whole Moments Therapy and Wellness)
• Chelsea Jones

• Clinical Social Worker in Lexington, MA
• Providers in Lexington, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2012; 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.