Individual provider Active NPI

Jill Meredith Schreider, LICSW

  • Clinical Social Worker
  • Framingham, MA
National Provider Identifier
1508205584
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
120155 Issued in MA
Practice address
971 Concord St Ste 7
Framingham, MA 01701-4689
Phone
(508) 479-9482
NPI assigned
Jun 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 120155 MA Primary

Addresses

Primary practice location

971 Concord St Ste 7
Framingham, MA 01701-4689

Mailing address

1218 VFW Pkwy Apt 50
West Roxbury, MA 02132-4326
Phone (508) 479-9482

Other identifiers 2

IdentifierTypeStateIssuer
120155OtherMABOARD OF SOCIAL WORKERS
120155OtherMACOMMONWEALTH OF MASSACHUSETTS

Other names 1

  • Miss Jill Meredith Schreider Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
120155MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1371859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1508205584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 VFW PKWY APT 50",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021324326",
            "telephone_number": "508-479-9482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 CONCORD ST STE 7",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017014689",
            "telephone_number": "508-479-9482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHREIDER",
        "first_name": "JILL",
        "middle_name": "MEREDITH",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-22",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "120155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF SOCIAL WORKERS",
            "identifier": "120155",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMONWEALTH OF MASSACHUSETTS",
            "identifier": "120155",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "SCHREIDER",
            "middle_name": "MEREDITH",
            "prefix": "MISS",
            "credential": "LICSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Framingham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.