Jessica A Nieuwenhuizen

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

218715 Issued in MA

Practice address

774 Albany St
Boston, MA 02118-2520

Phone

(617) 534-6163

Fax

(617) 419-1425

NPI assigned

May 24, 2019

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

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558656000000",
    "number": "1679130678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 MASSACHUSETTS AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182600",
            "telephone_number": "617-534-3131",
            "fax_number": "617-534-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 ALBANY ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182520",
            "telephone_number": "617-534-6163",
            "fax_number": "617-419-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEUWENHUIZEN",
        "first_name": "JESSICA",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-24",
        "last_updated": "2019-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "218715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Alan Nierenberg, MD
• Natalie E. Nierenberg, MD
• Elizabeth Nies
• Michelle Lynn Niescierenko, M.D.
• Katrina Sheehan Nietsch, MD
• Grisselle Marie Nieves Arzuaga, NP
• Rita Luz Nieves, RN, MPH, MSW
• Sebastian Niezen
• Minali Nigam Aggarwal, MD
• Ankita Arunkumar Nigam

• Clinical Social Worker in Boston, MA
• Providers in Boston, 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 May 24, 2019; 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.