Jade Dwelley

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

121867 Issued in MA

Practice address

10 Guest St
Boston, MA 02135-2066

Phone

(334) 663-5505

NPI assigned

Sep 14, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

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

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.

• Children'S Hospital

  • Children's Hospital
  • Washington, DC
  • NPI 1912939703
  Medicare reassignment NPD
• Children'S Hospital

  • Community/Retail Pharmacy
  • Silver Spring, MD
  • NPI 1326878349
  NPD
• Children'S Hospital

  • Pediatrics Physician
  • Washington, DC
  • NPI 1780800128
  NPD

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1558739177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 LINDEN ST",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021433409",
            "telephone_number": "334-663-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 GUEST ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021352066",
            "telephone_number": "334-663-5505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "399 Lincoln Rd",
            "address_purpose": "LOCATION",
            "city": "Walpole",
            "state": "MA",
            "postal_code": "020811218",
            "country_code": "US",
            "telephone_number": "508-734-1848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 Q St SE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200205518",
            "country_code": "US",
            "telephone_number": "202-939-3150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 1st St NE Fl 9",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200027953",
            "country_code": "US",
            "telephone_number": "202-442-5885",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1018 Monroe St NE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200171760",
            "country_code": "US",
            "telephone_number": "202-468-1571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DWELLEY",
        "first_name": "JADE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-14",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50082248",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "DC",
            "license": "LC50082248",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "121867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Daniel Dvorin, M.D., PH.D.
• Michael Edward Dvorkin, EDD
• Tessia Kathryn Dvorsack, DPT
• Dennis Dwan, MD
• Meaghan Dwan, MS
• Aberdine Rhiannon Dwight, PHD
• Andrew Alois Dwyer, RN, NP
• Brigid Dwyer, M.D.
• Caitlyn Dwyer
• Chelsea Dwyer, PA

• Clinical Social Worker in Boston, MA
• Providers in Boston, 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 Jan 19, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.