Active NPI
Jill Susan Charney, LICSW
- Social Worker
- Newton Lower Falls, MA
National Provider Identifier
1760966998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 106399
- Practice address
- 671 Grove St
Newton Lower Falls, MA 02462-1318 - Phone
- (617) 332-5739
- NPI assigned
- Sep 24, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 106399 | MA | Primary |
Addresses
Primary practice location
671 Grove St
Newton Lower Falls, MA 02462-1318
Mailing address
671 Grove St
Newton Lower Falls, MA 02462-1318
Phone (185) 749-8067
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
| License | State | Type | Specialty |
|---|---|---|---|
| 106399 | MA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537747200000",
"number": "1760966998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "671 GROVE ST",
"city": "NEWTON LOWER FALLS",
"state": "MA",
"postal_code": "024621318",
"telephone_number": "185-749-8067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "671 GROVE ST",
"city": "NEWTON LOWER FALLS",
"state": "MA",
"postal_code": "024621318",
"telephone_number": "617-332-5739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARNEY",
"first_name": "JILL",
"middle_name": "SUSAN",
"name_prefix": "Ms.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-24",
"last_updated": "2018-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "106399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newton Lower Falls, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.