Jenna Lussier, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

415 Neponset Ave
3Rd Floor
Dorchester, MA 02122-3168

Phone

(857) 217-3700

NPI assigned

Sep 8, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• SB Transitional Sub, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brockton, MA
  • NPI 1962091173
  NPD (past)
• South Bay Mental Health Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brockton, MA
  • NPI 1023096864
  NPD (past)

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432771200000",
    "number": "1659772820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 NEPONSET AVE",
            "address_2": "3RD FLOOR",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021223168",
            "telephone_number": "857-217-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 NEPONSET AVE",
            "address_2": "3RD FLOOR",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021223168",
            "telephone_number": "857-217-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSSIER",
        "first_name": "JENNA",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-08",
        "last_updated": "2015-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Irving Ludwig Jr., LDO
• Chanelle Natalyah Lugay
• Maria Lugo
• Allison Dana Mika Lukacic, DO
• Mary Lunsford, M.D.
• My-Linh Thuy Luu
• Luxottica of America Inc.
• Robin Lydon
• Mary F Lynch Delaney, RD
• Brendan Lynch

• Social Worker in Dorchester, MA
• Providers in Dorchester, MA by specialty
• Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.