Individual provider Active NPI

Jennifer Ullrich

  • Clinical Social Worker
  • Framingham, MA
National Provider Identifier
1710489760
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1130630 Issued in MA
Practice address
61 Lincoln St Ste 203
Framingham, MA 01702-8264
Phone
(508) 500-6166
NPI assigned
Mar 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Clinical Social Worker 1041C0700X 225626 MA
Clinical Social Worker 1041C0700X 1130630 MA Primary

Addresses

Primary practice location

61 Lincoln St Ste 203
Framingham, MA 01702-8264

Mailing address

61 Lincoln St Ste 203
Framingham, MA 01702-8264
Phone (781) 666-2711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200826001130 MA Practitioner - Clinical Social Worker 7315364098 Reassigns benefits to 1 organization
I20251202002608 WA Practitioner - Clinical Social Worker 7315364098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Spectrum Neuro Behavioral Care LLCGroup PAC ID 2860721362, 57 clinicians

Practice addresses (Care Compare)

33930 Weyerhaeuser Way S
Suite 220
Federal Way, WA 98001-9772
Phone (253) 752-7320

61 Lincoln St
Framingham, MA 01702-8264
Phone (781) 666-2711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1130630MAMDClinical Social Worker
225626MAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Psychological and Counseling Services LLC CurrentSince Oct 17, 2025 Accepting new patients
Spectrum Neuro Behavioral Care LLC CurrentSince May 1, 2020 Accepting new patients

Locations

61 Lincoln St
Ste 203
Framingham, MA 01702
Phone (508) 500-6166

67 Union St
Ste 106
Natick, MA 01760
Phone (508) 650-9999

33930 Weyerhaeuser Way S
Ste 220
Federal Way, WA 98001
Phone (253) 550-0734

19120 SE 34th St
Ste 201
Vancouver, WA 98683
Phone (360) 906-1190

Organizations & group practices 2

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": "1520294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1710489760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 LINCOLN ST STE 203",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017028264",
            "telephone_number": "781-666-2711",
            "fax_number": "781-666-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 LINCOLN ST STE 203",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017028264",
            "telephone_number": "508-500-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULLRICH",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-06",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "225626",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1130630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

Verify at the official NPI Registry.