Jill Gleason Sergeant, L.I.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1031801 Issued in MA

Practice address

204 Andover St Ste 403
Andover, MA 01810-5702

Phone

(978) 482-6841

NPI assigned

Jan 13, 2016

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

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

Specialty

Clinical Social Worker

Education

Other, 1997

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1730545294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 ANDOVER ST STE 403",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018105702",
            "telephone_number": "978-482-6841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 ANDOVER ST STE 403",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018105702",
            "telephone_number": "978-482-6841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERGEANT",
        "first_name": "JILL",
        "middle_name": "GLEASON",
        "credential": "L.I.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-13",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1031801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lesley D. Scully, MED, BCBA
• Susan Sczerzenie, PH.D.
• Ryan Stuart Searle, M.D.
• Franklin Dorian Segall, M.D.
• Omayra Sepulveda
• Kathleen Serrano, LICSW
• Kristen Elaine Sgrosso, OTR
• Howard Jeffrey Shaffer, PH.D.
• Samir S Shah, DO
• Steven R. Shank, M.A., LMHC

• Clinical Social Worker in Andover, MA
• Providers in Andover, 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 Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.