Jennifer Paradysz, LICSW
Individual provider Active NPI Clinical Social Worker · Douglas, MA
NPI 1750415451 · NPPES record last updated Aug 10, 2017
Key facts
- NPI
- 1750415451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 116254 (MA)
- Practice address
- 32 Riedell Rd
Douglas, MA 01516-2146 - Phone
- (774) 280-6294
- NPI assigned
- Mar 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120530000412 | MA | Practitioner - Clinical Social Worker | 0042473134 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116254 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Framingham Psychiatric Care LLC | Current |
Accepting new patients |
Locations
1253 Worcester Rd
Ste 404
Framingham, MA 01701
Phone (508) 488-4075
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 116254 | MA | Yes |
Addresses
Primary practice location
32 Riedell Rd
Douglas, MA 01516-2146
Mailing address
63 Fountain St
Ste 402
Framingham, MA 01702-6280
Phone (774) 280-6294
Other providers in Douglas, MA
- Nicholas Mackowiak
- Carol A McDonald
- Jennifer McGee
- Maria Merloni
- Dayane Mota
- Patrick Charles Remington
- Paula K Russo
- Andrei Sacco
- Samantha Jo Sanders
- Barbara Taipale Scanlon
All providers in Douglas, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.