Active NPI
Jenny Voumard, LICSW
- Clinical Social Worker
- Vineyard Haven, MA
National Provider Identifier
1649797119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 123617
- Practice address
- 111 Edgartown Road
Vineyard Haven, MA 02568 - Phone
- (508) 693-7900
- NPI assigned
- Aug 25, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 097117 | NY | |
| Clinical Social Worker | 1041C0700X | 123617 | MA | Primary |
Addresses
Primary practice location
111 Edgartown Road
Vineyard Haven, MA 02568
Mailing address
PO Box 683
West Tisbury, MA 02575-0683
Phone (914) 806-4078
Other practice location 1
52 Pine St
Vineyard Haven, MA 02568
Phone (914) 806-4078
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123617 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735603200000",
"number": "1649797119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 683",
"city": "WEST TISBURY",
"state": "MA",
"postal_code": "025750683",
"telephone_number": "914-806-4078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 EDGARTOWN ROAD",
"city": "VINEYARD HAVEN",
"state": "MA",
"postal_code": "02568",
"telephone_number": "508-693-7900"
}
],
"practiceLocations": [
{
"address_1": "52 Pine St",
"address_purpose": "LOCATION",
"city": "Vineyard Haven",
"state": "MA",
"postal_code": "02568",
"country_code": "US",
"telephone_number": "914-806-4078",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VOUMARD",
"first_name": "JENNY",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-25",
"last_updated": "2024-12-31",
"certification_date": "2024-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "097117",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "123617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vineyard Haven, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.