Jennifer Ann Theberge Ierardi, MSW LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

110819 Issued in MA

Practice address

10 Bedford St
Abington, MA 02351

Phone

(781) 871-2051

Fax

(781) 871-5558

NPI assigned

Feb 13, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Ms. Jennifer Ann Theberge Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• United Church of Christ

  dba Norma Kent Pastoral Counseling Center

  • Clinical Psychologist
  • Abington, MA
  • NPI 1548347610
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619019163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2025",
            "city": "ABINGTON",
            "state": "MA",
            "postal_code": "02351",
            "telephone_number": "781-871-2051",
            "fax_number": "781-871-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BEDFORD ST",
            "city": "ABINGTON",
            "state": "MA",
            "postal_code": "02351",
            "telephone_number": "781-871-2051",
            "fax_number": "781-871-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEBERGE IERARDI",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MSW LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "110819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE",
            "identifier": "46065135",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "494156",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "P08717",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "THEBERGE",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bobby Sudhu, PHARMD
• Melissa Talarico, OT
• Brendan Teebagy
• Catherine Ann Thayer, R.N.
• The Stop & Shop Supermarket Company, LLC (Stop and Shop Pharmacy #54)
• Edwin Michael Thomas. Jr., D.D.S.
• Francia Toussaint
• Town of Abington (Town of Abington Ambulance Service)
• Town of Abington
• Tammie Marie Trucchi, RN

• Clinical Social Worker in Abington, MA
• Providers in Abington, 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 Jul 8, 2007; 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.