Jennifer Slocum, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

110649 Issued in MA

Practice address

44 Fairview St
Westwood, MA 02090-1238

Phone

(617) 694-7175

NPI assigned

Sep 27, 2018

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1578048328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 FAIRVIEW ST",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020901238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 FAIRVIEW ST",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020901238",
            "telephone_number": "617-694-7175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOCUM",
        "first_name": "JENNIFER",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-27",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "110649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Simonetti
• Harold S. Simpson, CRNA
• Steffanie K Sinclair, CRNA
• Catherine Marie Skeirik
• Joan Slade, C.R.N.A.
• Maureen P Smith, PH
• Raymond A Smith, M.D.
• Kimberly Solo, L.I.C.S.W.
• South Norfolk County Association for Retarded Citizens
• South Norfolk County Association for Retarded Citizens, Inc.

• Clinical Social Worker in Westwood, MA
• Providers in Westwood, 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 27, 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.

Verify at the official NPI Registry.