Active NPI
Jennifer Dunphy, LICSW
- Clinical Social Worker
- Worcester, MA
National Provider Identifier
1770721524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1237254995-SW-LICSW
- Practice address
- 309 Belmont St
Worcester, MA 01604-1059 - Phone
- (508) 368-3625
- Fax
- (508) 368-0578
- NPI assigned
- Feb 2, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | LCS 27762 | CA | |
| Clinical Social Worker | 1041C0700X | ASW23851 | CA | |
| Clinical Social Worker | 1041C0700X | ISW02386 | RI | |
| Clinical Social Worker | 1041C0700X | 1237254995-SW-LICSW | MA | Primary |
Addresses
Primary practice location
309 Belmont St
Worcester, MA 01604-1059
Mailing address
309 Belmont St
Worcester, MA 01604-1059
Phone (508) 368-3625
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW23851 | CA | MD | Clinical Social Worker |
| LCS 27762 | CA | MD | Clinical Social Worker |
| 1237254995-SW-LICSW | MA | MD | Clinical Social Worker |
| ISW02386 | RI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612224000000",
"number": "1770721524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 BELMONT ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016041059",
"telephone_number": "508-368-3625",
"fax_number": "508-368-0578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 BELMONT ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016041059",
"telephone_number": "508-368-3625",
"fax_number": "508-368-0578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNPHY",
"first_name": "JENNIFER",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-02",
"last_updated": "2021-02-02",
"certification_date": "2021-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS 27762",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW23851",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "ISW02386",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1237254995-SW-LICSW",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.