Individual provider Active NPI

Jennifer Conley Sevier

  • Clinical Social Worker
  • Amesbury, MA
National Provider Identifier
1760631196
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
5 Market SQ
Suite B
Amesbury, MA 01913-2497
Phone
(978) 388-7032
Fax
(978) 356-2822
NPI assigned
Sep 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

5 Market SQ
Suite B
Amesbury, MA 01913-2497

Mailing address

5 Market SQ
Suite B
Amesbury, MA 01913-2497
Phone (978) 388-7032

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20131203000179 MA Practitioner - Clinical Social Worker 0648406322 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Behavioral Health Corporation CurrentSince Oct 10, 2013 Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients

Locations

5 Market Sq
Ste B
Amesbury, MA 01913
Phone (978) 388-7032

199 Rosewood Dr
Ste 250
Danvers, MA 01923
Phone (978) 867-7756

12 Methuen St
Ste 3
Lawrence, MA 01840
Phone (978) 683-3128

Interoperability endpoints

  • Direct secure messaging: jenniferconleysevier@tdh.allscriptsdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221004800000",
    "number": "1760631196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MARKET SQ",
            "address_2": "SUITE B",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "019132497",
            "telephone_number": "978-388-7032",
            "fax_number": "978-356-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MARKET SQ",
            "address_2": "SUITE B",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "019132497",
            "telephone_number": "978-388-7032",
            "fax_number": "978-356-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONLEY SEVIER",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-10",
        "last_updated": "2008-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amesbury, MA

Sources for this page

Verify at the official NPI Registry.