Active NPI
Jennifer Kinsella, LICSW
- Social Worker
- Lowell, MA
National Provider Identifier
1578045191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 155 Merrimack St
Lowell, MA 01852-1723 - Phone
- (978) 674-2096
- NPI assigned
- Aug 30, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | MA | Primary |
Addresses
Primary practice location
155 Merrimack St
Lowell, MA 01852-1723
Mailing address
350 Lowell St
Methuen, MA 01844-3469
Phone (978) 569-6363
Other practice location 1
76 Summer St
Haverhill, MA 01830-5814
Phone (978) 373-2222
Other names 1
- Jennifer Underwood
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535587200000",
"number": "1578045191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 LOWELL ST",
"city": "METHUEN",
"state": "MA",
"postal_code": "018443469",
"telephone_number": "978-569-6363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 MERRIMACK ST",
"city": "LOWELL",
"state": "MA",
"postal_code": "018521723",
"telephone_number": "978-674-2096"
}
],
"practiceLocations": [
{
"address_1": "76 Summer St",
"address_purpose": "LOCATION",
"city": "Haverhill",
"state": "MA",
"postal_code": "018305814",
"country_code": "US",
"telephone_number": "978-373-2222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KINSELLA",
"first_name": "JENNIFER",
"name_prefix": "Mrs.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-30",
"last_updated": "2018-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "UNDERWOOD",
"credential": "LICSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.