Individual provider Active NPI

Jennifer Lyn Crowley, LICSW

  • Social Worker
  • Woburn, MA
National Provider Identifier
1750856258
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
110510 Issued in MA
Practice address
800 W Cummings Park Ste 5000
Woburn, MA 01801-6356
Phone
(978) 375-4489
NPI assigned
Oct 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 110510 MA Primary

Addresses

Primary practice location

800 W Cummings Park Ste 5000
Woburn, MA 01801-6356

Mailing address

67 Lexington Rd
Dracut, MA 01826-4164
Phone (857) 373-9534

Other practice location 1

67 Lexington Rd
Dracut, MA 01826-4164
Phone (978) 375-4489

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
110510MAMDSocial Worker

Interoperability endpoints

  • Direct secure messaging: jennifer.crowley.1@3764.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1750856258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 LEXINGTON RD",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018264164",
            "telephone_number": "857-373-9534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W CUMMINGS PARK STE 5000",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016356",
            "telephone_number": "978-375-4489"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "67 Lexington Rd",
            "address_purpose": "LOCATION",
            "city": "Dracut",
            "state": "MA",
            "postal_code": "018264164",
            "country_code": "US",
            "telephone_number": "978-375-4489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROWLEY",
        "first_name": "JENNIFER",
        "middle_name": "LYN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-10",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "110510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.