Individual provider Active NPI

Jodie Minahan Lamirande, LCSW

  • Clinical Social Worker
  • Winchester, MA
National Provider Identifier
1497361992
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
227648-SW-LCSW Issued in MA
Practice address
540 Main St Ste 15
Winchester, MA 01890-2940
Phone
(978) 948-9200
Fax
(978) 655-5185
NPI assigned
Sep 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 315167-SW-LSW MA
Clinical Social Worker 1041C0700X 227648 MA
Clinical Social Worker 1041C0700X 227648-SW-LCSW MA Primary

Addresses

Primary practice location

540 Main St Ste 15
Winchester, MA 01890-2940

Mailing address

310 Merrimack St
Methuen, MA 01844-6575
Phone (978) 973-2906

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
I20250213000885 MA Practitioner - Clinical Social Worker 0547790024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12 Emerson Ave
Methuen, MA 01844-1028
Phone 97897329060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
227648-SW-LCSWMAMDClinical Social Worker
315167-SW-LSWMAMDClinical Social Worker
227648MAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Lining Wellness, LLC Clinical CurrentSince Dec 11, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1497361992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 MERRIMACK ST",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018446575",
            "telephone_number": "978-973-2906",
            "fax_number": "978-655-5185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 MAIN ST STE 15",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018902940",
            "telephone_number": "978-948-9200",
            "fax_number": "978-655-5185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMIRANDE",
        "first_name": "JODIE",
        "middle_name": "MINAHAN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-20",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "315167-SW-LSW",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "227648",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "227648-SW-LCSW",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, MA

Sources for this page

Verify at the official NPI Registry.