Jennifer Lynn Bixby, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LICSW127659 Issued in MA

Practice address

200 N Main St
Ste 4 Unit 7
East Longmeadow, MA 01028

Phone

(413) 569-8484

NPI assigned

Sep 29, 2020

Last updated

Sep 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Deaf Haven Counseling LLC

  • Clinical Social Worker
  • East Longmeadow, MA
  • NPI 1780442749
  Medicare reassignment NPD Authorized official
• Center for Human Development, Inc.

  • Community/Behavioral Health Agency
  • Springfield, MA
  • NPI 1912099219

  Clinical

  Medicare reassignment NPD
• Center for Human Development, Inc

  • Family Medicine Physician
  • West Springfield, MA
  • NPI 1861250953
  NPD

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726358400000",
    "number": "1508473943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N MAIN ST",
            "address_2": "STE 4 UNIT 7",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "01028",
            "telephone_number": "413-569-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N MAIN ST",
            "address_2": "STE 4 UNIT 7",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "01028",
            "telephone_number": "413-569-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIXBY",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-29",
        "last_updated": "2024-09-15",
        "certification_date": "2024-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW127659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Michelle Bernier, M.E.D, LMHC
• Melissa M. Besner
• Marino L Biagini III, NP
• Samantha Jane Birks
• James Biron, PT
• Thomas Robert Black Jr., ACSM RCEP
• Nathan Blake, PT
• Julia Bonavita
• Laurie Ann Bouzan, P.T.
• Arianne Boyajian, LMT

• Clinical Social Worker in East Longmeadow, MA
• Providers in East Longmeadow, 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 Sep 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.