Jaclynne Anne Lira

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

000223840 Issued in MA

Practice address

55 Fruit St
Boston, MA 02114-2621

Phone

(978) 846-3166

NPI assigned

Sep 12, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1750839437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 EDITH RD",
            "city": "HUDSON",
            "state": "MA",
            "postal_code": "017491709",
            "telephone_number": "978-846-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142621",
            "telephone_number": "978-846-3166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1340 Commonwealth Ave",
            "address_2": "Apartment 28",
            "address_purpose": "LOCATION",
            "city": "Allston",
            "state": "MA",
            "postal_code": "021343923",
            "country_code": "US",
            "telephone_number": "978-846-3166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIRA",
        "first_name": "JACLYNNE",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-12",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "000223840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Lipton, LADC
• Jonathan Oren Lipton, M.D., PH.D.
• Lianna Rebecca Lipton, MD, MS
• Susan Lipton, MSW
• Itallo Emidio Lira Viana, DDS, MSC, PHD
• Alan Lisbon, M.D.
• Natasa Lisica, RN
• Steven K Lisica, MD
• Natalie Lisiewicz, AUD
• Victoria Lisowski

• Clinical Social Worker in Boston, MA
• Providers in Boston, 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 May 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.