Jill a. Grace Hersch PHD MSW LCSW PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L3235 Issued in OR

Legal business name

JILL A. GRACE HERSCH PHD MSW LCSW PC

Practice address

499 Chestnut St
Ashland, OR 97520-1546

Phone

(541) 488-0883

Fax

(541) 488-0893

NPI assigned

Jan 21, 2007

Last updated

Feb 1, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jill A. Grace Hersch, L.C.S.W.NPI 1992858997

Title

President

Phone

(541) 488-0883

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jill A. Grace Hersch, L.C.S.W.

  • Clinical Social Worker
  • Marblehead, MA
  • NPI 1992858997

  OR

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1169337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1720131725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 CHESTNUT ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201546",
            "telephone_number": "541-488-0883",
            "fax_number": "541-488-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 CHESTNUT ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201546",
            "telephone_number": "541-488-0883",
            "fax_number": "541-488-0893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL A. GRACE HERSCH PHD MSW LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-21",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "GRACE HERSCH",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-488-0883",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L3235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Elizabeth Jasper
• Anna-Maria Jealous, MS LPC NCC
• Jeanne Normand White, Lac
• Jeff State Physical Therapy
• Jefferson Neurology, LLC
• Joanna Poague
• Brynne Johannsen, PH.D.
• John P Delgado MD PC (Delgado Family Care)
• John P. Delgado, MD PC (Delgado Family Care)
• Caelin Eliza Johnson-Lupes, LCSW

• Clinical Social Worker in Ashland, OR
• Providers in Ashland, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.