Individual provider Active NPI

Jessica Tye Zieky, LICSW

  • Clinical Social Worker
  • Needham, MA
National Provider Identifier
1679723639
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
116523 Issued in MA
Practice address
11 Robinwood Ave
Needham, MA 02492-2112
Phone
(508) 492-5020
NPI assigned
Sep 26, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 116523 MA Primary

Addresses

Primary practice location

11 Robinwood Ave
Needham, MA 02492-2112

Mailing address

11 Robinwood Ave
Needham, MA 02492-2112
Phone (508) 492-5020

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100907000406 MA Practitioner - Clinical Social Worker 4284758772 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colony Care IncGroup PAC ID 0042282055, 29 clinicians

Practice addresses (Care Compare)

Needham, MA 02492
Phone (508) 492-5020

11 River St
Wellesley, MA 02481-2098
Phone (781) 431-1177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jessica Zieky Licsw LLC CurrentSince Feb 15, 2026 Accepting new patients
Colony Care Inc CurrentSince Jan 2, 2021 Accepting new patients
North Charles Mental Health Research & Training Foundation, Inc Clinical CurrentSince Jul 1, 2010 Accepting new patients
Cambridge Psychiatric Services, Inc PastSince Oct 31, 2021 Accepting new patients

Locations

54 Washburn Ave
Cambridge, MA 02140
Phone (617) 491-1269

11 River St
Wellesley Hills, MA 02481
Phone (781) 237-7979

11 River St
Ste 1
Wellesley Hls, MA 02481
Phone (508) 695-7447

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1679723639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 ROBINWOOD AVE",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024922112",
            "telephone_number": "508-492-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 ROBINWOOD AVE",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024922112",
            "telephone_number": "508-492-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIEKY",
        "first_name": "JESSICA",
        "middle_name": "TYE",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-26",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "116523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Needham, MA

Sources for this page

Verify at the official NPI Registry.