Individual provider Active NPI

Jennifer Francis Spirito, LICSW

  • Clinical Social Worker
  • Northborough, MA
National Provider Identifier
1497071831
Registry record updated Apr 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
111741 Issued in MA
Practice address
300 W Main St
Northborough, MA 01532-2132
Phone
(508) 341-5811
NPI assigned
Apr 9, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2010

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 111741 MA Primary

Addresses

Primary practice location

300 W Main St
Northborough, MA 01532-2132

Mailing address

31 Browning Rd
Shrewsbury, MA 01545-1405
Phone (508) 523-0684

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 5, 2024 through Feb 5, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
111741MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270771200000",
    "number": "1497071831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 BROWNING RD",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015451405",
            "telephone_number": "508-523-0684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W MAIN ST",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015322132",
            "telephone_number": "508-341-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIRITO",
        "first_name": "JENNIFER",
        "middle_name": "FRANCIS",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-09",
        "last_updated": "2010-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "111741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northborough, MA

Sources for this page

Verify at the official NPI Registry.