Individual provider Active NPI

Jill F. Loveridge

  • Clinical Social Worker
  • West Yarmouth, MA
National Provider Identifier
1598166159
Registry record updated Sep 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
118427 Issued in MA
Practice address
134 Ansel Hallet Rd
Suite 3
West Yarmouth, MA 02673-2582
Phone
(774) 470-2294
NPI assigned
Sep 14, 2014
Last updated
Sep 14, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 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 118427 MA Primary

Addresses

Primary practice location

134 Ansel Hallet Rd
Suite 3
West Yarmouth, MA 02673-2582

Mailing address

4 Kenneth St
East Sandwich, MA 02537-1525
Phone (774) 226-3808

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
I20141020000852 MA Practitioner - Clinical Social Worker 8426279282 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
118427MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Health Services, LLC PastSince Oct 9, 2018 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1410652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410652800000",
    "number": "1598166159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 KENNETH ST",
            "city": "EAST SANDWICH",
            "state": "MA",
            "postal_code": "025371525",
            "telephone_number": "774-226-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 ANSEL HALLET RD",
            "address_2": "SUITE 3",
            "city": "WEST YARMOUTH",
            "state": "MA",
            "postal_code": "026732582",
            "telephone_number": "774-470-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVERIDGE",
        "first_name": "JILL",
        "middle_name": "F.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-14",
        "last_updated": "2014-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "118427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Yarmouth, MA

Sources for this page

Verify at the official NPI Registry.