Jessica R Reid, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

125531 Issued in MA

Practice address

174 Providence Rd Apt 905
Grafton, MA 01519-1544

Phone

(774) 274-0607

NPI assigned

Nov 28, 2022

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, 2019

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

The Bridge of Central Massachusetts IncGroup PAC ID 1658694393, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• The Bridge of Central Massachusetts, Inc.

  • Community/Behavioral Health Agency
  • Worcester, MA
  • NPI 1740657527
  Medicare reassignment Care Compare group NPD
• The Bridge of Central Massachusetts, Inc

  • Foster Care Agency
  • Worcester, MA
  • NPI 1053746255
  NPD

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1528778941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 PROVIDENCE RD APT 905",
            "city": "GRAFTON",
            "state": "MA",
            "postal_code": "015191544",
            "telephone_number": "774-274-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 PROVIDENCE RD APT 905",
            "city": "GRAFTON",
            "state": "MA",
            "postal_code": "015191544",
            "telephone_number": "774-274-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "JESSICA",
        "middle_name": "R",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "125531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tania Marie Paparazzo, LCSW
• Gloria Lou Pilczak, RD, LDN
• Play on Words Pathways LLC
• Primary Providers, PLLC
• Pyramidion LLC
• Deanna Kay Saint Souver, LCSW, LICSW
• James Daniel Scanlon, ATC, NREMT
• Lynnette Scobell, CCC-SLP
• Sarah Leva Spy, LICSW
• Victoria Teixeira

• Clinical Social Worker in Grafton, MA
• Providers in Grafton, 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 Nov 28, 2022; 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.