Active NPI
Jennifer P McCarthy, LICSW
- Social Worker
- West Boylston, MA
National Provider Identifier
1609942457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 1031803
- Practice address
- 47 Prospect St
West Boylston, MA 01583-1301 - Phone
- (508) 446-3786
- Fax
- (508) 835-4418
- NPI assigned
- Nov 24, 2006
- 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 | 1031803 | MA | Primary |
Addresses
Primary practice location
47 Prospect St
West Boylston, MA 01583-1301
Mailing address
12 Shady LN
Holden, MA 01520-2584
Phone (508) 446-3786
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 470034 | Other | MA | TUSTS |
| PO7633 | Other | MA | BCBS |
| 598282000 | Other | MA | MAGELLAN |
| 2175484 | Other | MA | CIGNA |
Other names 1
- Ms. Jennifer M Parry
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040309000781 | MA | Practitioner - Clinical Social Worker | 3274421474 | Practice locations: West Boylston, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
West Boylston, MA 01583
Phone (508) 446-3786
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602720000000",
"number": "1609942457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 SHADY LN",
"city": "HOLDEN",
"state": "MA",
"postal_code": "015202584",
"telephone_number": "508-446-3786",
"fax_number": "508-835-4418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 PROSPECT ST",
"city": "WEST BOYLSTON",
"state": "MA",
"postal_code": "015831301",
"telephone_number": "508-446-3786",
"fax_number": "508-835-4418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTHY",
"first_name": "JENNIFER",
"middle_name": "P",
"name_prefix": "Ms.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-24",
"last_updated": "2020-10-15",
"certification_date": "2020-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "1031803",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUSTS",
"identifier": "470034",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "PO7633",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "598282000",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2175484",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "PARRY",
"middle_name": "M",
"prefix": "MS.",
"credential": "LICSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in West Boylston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.