Jennifer McClintock, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

122262 Issued in MA

Practice address

26 Queen St Ste 13
Worcester, MA 01610-2478

Phone

(508) 754-2860

NPI assigned

Aug 28, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Family Health Center of Worcester, Inc.

  • Federally Qualified Health Center (FQHC)
  • Worcester, MA
  • NPI 1841200664
  Medicare reassignment NPD
• Family Health Center of Worcester, Inc.

  dba FHCW, Inc-Pharmacy

  • Clinic Pharmacy
  • Worcester, MA
  • NPI 1447399225
  NPD

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1679054621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 QUEEN ST STE 13",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016102478",
            "telephone_number": "508-754-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 QUEEN ST STE 13",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016102478",
            "telephone_number": "508-754-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLINTOCK",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "122262",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "221805",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert M. McCarthy, D.M.D.
• Colleen Marie McCauley, BA
• Shelagh E.G. McCauley, M.D.
• Kerri McCleary, LICSW
• Patricia H McClelland, MA
• Shannon McClintock
• Mary Elizabeth McCloskey, MS, NCC
• Jillian McCord
• Amber McCormack
• Neil D. McCormack, MD

• Clinical Social Worker in Worcester, MA
• Providers in Worcester, 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 Nov 13, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.