Active NPI
Jennifer Tsappis, LICSW
- Clinical Social Worker
- Beverly, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 113055
- Practice address
- 4 Elnew Ave
Beverly, MA 01915 - Phone
- (978) 922-4900
- NPI assigned
- Mar 16, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 113055 | MA | Primary |
Addresses
Primary practice location
4 Elnew Ave
Beverly, MA 01915
Mailing address
4 Elnew Ave
Beverly, MA 01915-1216
Other practice location 1
372 Washington St
Wellesley, MA 02481-6202
Phone (781) 239-3550
Other practice location 2
50101 Governors Dr Ste 280
Chapel Hill, NC 27517-9517
Phone (888) 500-2067
Other practice location 3
10 Dorrance St Ste 700
Providence, RI 02903-2014
Phone (888) 500-2067
Other practice location 4
700 Massachusetts Ave Fl 3
Cambridge, MA 02139-3345
Phone (888) 500-2067
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PO8468 | Other | MA | BCBSMA |
| 408694 | Other | MA | TUFTS HEALTH PLAN |
Other names 1
- Jennifer Mehrtens
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1997
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
700 Massachusetts Ave
FL 3
Cambridge, MA 02139-3345
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113055 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cartwheel Health Services PC | Clinical | Current | Accepting new patients |
Locations
1630 Welton St
Ste 721
Denver, CO 80202
73 W Monroe St
Ste 422
Chicago, IL 60603
700 Massachusetts Ave
Fl 3
Cambridge, MA 02139
Phone (617) 649-8520
50101 Governors Dr
Ste 280
Chapel Hill, NC 27517
Phone (919) 345-5119
10 Dorrance St
Ste 700
Providence, RI 02903
Phone (401) 200-8242
Organizations & group practices 1
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.
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- Child & Adolescent Psychiatry Physician
- Cambridge, MA
- NPI 1912633975
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718582400000",
"number": "1780718031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 ELNEW AVE",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019151216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 ELNEW AVE",
"city": "BEVERLY",
"state": "MA",
"postal_code": "01915",
"telephone_number": "978-922-4900"
}
],
"practiceLocations": [
{
"address_1": "372 Washington St",
"address_purpose": "LOCATION",
"city": "Wellesley",
"state": "MA",
"postal_code": "024816202",
"country_code": "US",
"telephone_number": "781-239-3550",
"fax_number": "781-239-3272",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "50101 Governors Dr Ste 280",
"address_purpose": "LOCATION",
"city": "Chapel Hill",
"state": "NC",
"postal_code": "275179517",
"country_code": "US",
"telephone_number": "888-500-2067",
"fax_number": "617-649-8520",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10 Dorrance St Ste 700",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029032014",
"country_code": "US",
"telephone_number": "888-500-2067",
"fax_number": "617-649-8520",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 Massachusetts Ave Fl 3",
"address_purpose": "LOCATION",
"city": "Cambridge",
"state": "MA",
"postal_code": "021393345",
"country_code": "US",
"telephone_number": "888-500-2067",
"fax_number": "617-649-8520",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TSAPPIS",
"first_name": "JENNIFER",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2024-06-17",
"certification_date": "2024-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "113055",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMA",
"identifier": "PO8468",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "408694",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "MEHRTENS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Beverly, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.