Jennifer L Jodoin, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

117636 Issued in MA

Practice address

347 Stony Hill Rd
Wilbraham, MA 01095-1513

Phone

(413) 306-8007

NPI assigned

Jun 11, 2010

Sex

Female

Sole proprietor

Yes

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, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mulberry Mental Health & Wellness Inc

  • Clinical Social Worker
  • Wilbraham, MA
  • NPI 1467268581
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1276214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1518288653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 STONY HILL RD",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010951513",
            "telephone_number": "413-306-8007",
            "fax_number": "413-739-9972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 STONY HILL RD",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010951513",
            "telephone_number": "413-306-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JODOIN",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-11",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "117636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann J Hritz, M.D.
• Sara Hulseberg, DPT
• In Home Child & Family Services, Inc
• James Counseling Associates Inc
• Susan W James, MSW
• Emma Jerise Kane
• Jenna Kane, MS, RDN
• Craig E Kannel, MD
• Amy C. Kasper, MD
• Cynthia A Kennedy, NP

• Clinical Social Worker in Wilbraham, MA
• Providers in Wilbraham, 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 18, 2023; 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.