Jacquelyn Larivee, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

118727 Issued in MA

Practice address

100 Pride Way
Bedford, MA 01730

Phone

(781) 538-6075

Fax

(781) 538-6303

NPI assigned

Jan 12, 2018

Sex

Female

Sole proprietor

No

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": "1515715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528070400000",
    "number": "1770091761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PRIDE WAY",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017301375",
            "telephone_number": "781-538-6075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PRIDE WAY",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "01730",
            "telephone_number": "781-538-6075",
            "fax_number": "781-538-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARIVEE",
        "first_name": "JACQUELYN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-12",
        "last_updated": "2018-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "118727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Tran Lam, PHARMD
• Elise Marie Lamoreaux
• Alexandra Landman, LICSW
• Hillary Lannon, MS, BCBA, LABA
• Kimberly Ann Lannon, PSY.D.,LMHC,CPRP
• Christine Marie Larsen, MSNRN, CPNP-PC
• Caroline H Larson, OTR/L
• Kevin Laska, PH.D.
• Elizabeth Lawrence
• Maileah Lawson, PHARM.D.

• Clinical Social Worker in Bedford, MA
• Providers in Bedford, 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 Jun 4, 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.

Verify at the official NPI Registry.