Individual provider Active NPI

Jennifer R. West, L.I.C.S.W.

  • Clinical Social Worker
  • Shelburne Falls, MA
National Provider Identifier
1548461072
Registry record updated Jul 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
110536 Issued in MA
Practice address
17 Sears St
Shelburne Falls, MA 01370-1010
Phone
(413) 625-8147
NPI assigned
May 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 110536 MA Primary

Addresses

Primary practice location

17 Sears St
Shelburne Falls, MA 01370-1010

Mailing address

17 Sears St
Shelburne Falls, MA 01370-1010
Phone (413) 625-8147

Other names 1

  • Jennifer West Other name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070706000054 MA Practitioner - Clinical Social Worker 1557461423 Practice locations: Shelburne Falls, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

17 Sears St
Shelburne Falls, MA 01370-1010
Phone (413) 824-9973

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
110536MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404777600000",
    "number": "1548461072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 SEARS ST",
            "city": "SHELBURNE FALLS",
            "state": "MA",
            "postal_code": "013701010",
            "telephone_number": "413-625-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 SEARS ST",
            "city": "SHELBURNE FALLS",
            "state": "MA",
            "postal_code": "013701010",
            "telephone_number": "413-625-8147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "JENNIFER",
        "middle_name": "R.",
        "credential": "L.I.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2014-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "110536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "WEST",
            "credential": "L.I.C.S.W.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Shelburne Falls, MA

Sources for this page

Verify at the official NPI Registry.