Individual provider Active NPI

Jaketon H Hewes, LICSW

  • Clinical Social Worker
  • Northampton, MA
National Provider Identifier
1598284390
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
000123692 Issued in MA
Practice address
71 King St Rear Unit2
Northampton, MA 01060-3275
Phone
(413) 341-0152
Fax
(413) 707-3377
NPI assigned
Sep 12, 2017
Last updated
May 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2022

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 000123692 MA Primary

Addresses

Primary practice location

71 King St Rear Unit2
Northampton, MA 01060-3275

Mailing address

933 Westhampton Rd
Florence, MA 01062-9708

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
I20210809003221 MA Practitioner - Clinical Social Worker 2365846664 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000123692MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical & Support Options, Inc CurrentSince May 6, 2021 Accepting new patients

Locations

1 Arch Pl
Greenfield, MA 01301
Phone (413) 773-1000

8 Atwood Dr
Ste 201
Northampton, MA 01060
Phone (413) 528-0471

Organizations & group practices 1

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": "1505174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1598284390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 WESTHAMPTON RD",
            "city": "FLORENCE",
            "state": "MA",
            "postal_code": "010629708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 KING ST REAR UNIT2",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603275",
            "telephone_number": "413-341-0152",
            "fax_number": "413-707-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEWES",
        "first_name": "JAKETON",
        "middle_name": "H",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-12",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "000123692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

Verify at the official NPI Registry.