Jessie M Quintero Johnson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

223289 Issued in MA

Practice address

Likemind Mental Health & Wellness, Inc
51 Union Street, Suite 222
Worcester, MA 01608-1134

Phone

(217) 649-9280

NPI assigned

Apr 1, 2020

Last updated

Apr 1, 2020By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1508494717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 PURINTON ST",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015454604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LIKEMIND MENTAL HEALTH & WELLNESS, INC",
            "address_2": "51 UNION STREET, SUITE 222",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081134",
            "telephone_number": "217-649-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTERO JOHNSON",
        "first_name": "JESSIE",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-01",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "223289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniella Quinonez
• Quinsigamond Community College
• Quinsigamond Community College
• Karen Quintana, SD
• Bryan Steven Quintanilla Rodriguez, M.D.
• Maureen M Quinty, NP
• Maria Quiros
• Maribel Quispe
• Crystal Quist, BEHAVIOR TECHNICIAN
• Daniel K. Quist, PA-C

• Clinical Social Worker in Worcester, MA
• Providers in Worcester, 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 Apr 1, 2020; 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.