Jill F. Loveridge
Individual provider Active NPI Clinical Social Worker · West Yarmouth, MA
NPI 1598166159 · NPPES record last updated Sep 14, 2014
Key facts
- NPI
- 1598166159
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 118427 (MA)
- Practice address
- 134 Ansel Hallet Rd
Suite 3
West Yarmouth, MA 02673-2582 - Phone
- (774) 470-2294
- NPI assigned
- Sep 14, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141020000852 | MA | Practitioner - Clinical Social Worker | 8426279282 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118427 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Health Services, LLC | Past |
Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 118427 | MA | Yes |
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
Other providers in West Yarmouth, MA
- Sara Leroy
- Verna Lewis
- Zariah Lima
- Stacey Anne Locascio
- Ashton H Lovejoy
- Salvatore J Lucca
- Therese Marie Macleod
- Beth Ann Madvin-Cox
- William James Marasco
- Elisa Martin
All providers in West Yarmouth, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.