Individual provider Active NPI

Jennifer Kay, LCSW, BCD, LICSW

  • Clinical Social Worker
  • Great Barrington, MA
National Provider Identifier
1700814852
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
114038 Issued in MA
Practice address
284 Main Steet
Suite #5
Great Barrington, MA 01230
Phone
(413) 528-1402
Fax
(413) 528-1402
NPI assigned
Jun 29, 2006
Last updated
Mar 31, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X PR015457-1 NY
Clinical Social Worker 1041C0700X 114038 MA Primary

Addresses

Primary practice location

284 Main Steet
Suite #5
Great Barrington, MA 01230

Mailing address

105 Stevens Lake Way
Great Barrington, MA 01230-8417
Phone (413) 528-1402

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
I20110707000434 MA Practitioner - Clinical Social Worker 5193722411 Practice locations: Great Barrington, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

105 Stevens Lake Way
Great Barrington, MA 01230-8417
Phone (413) 528-1402

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
114038MAMDClinical Social Worker
PR015457-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1700814852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 STEVENS LAKE WAY",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012308417",
            "telephone_number": "413-528-1402",
            "fax_number": "413-528-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 MAIN STEET",
            "address_2": "SUITE #5",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "01230",
            "telephone_number": "413-528-1402",
            "fax_number": "413-528-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAY",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "LCSW, BCD, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR015457-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "114038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Barrington, MA

Sources for this page

Verify at the official NPI Registry.