Active NPI
Jamie Lynn Bruce, LICSW, LCSW, ACSW
- Clinical Social Worker
- Worcester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 121613
- Practice address
- 48 Sears Island Drive
Worcester, MA 01606 - Phone
- (215) 208-1696
- NPI assigned
- Oct 12, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW014707 | PA | |
| Clinical Social Worker | 1041C0700X | 44SC01275800 | NJ | |
| Clinical Social Worker | 1041C0700X | 121613 | MA | Primary |
Addresses
Primary practice location
48 Sears Island Drive
Worcester, MA 01606
Mailing address
48 Sears Island Drive
Worcester, MA 01606
Phone (215) 208-1696
Other names 1
- Mrs. Jamie Lynn Coonan
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, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
169 Libbey Industrial Pkwy
2ND
Weymouth, MA 02189-3189
Phone (781) 551-0999
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121613 | MA | MD | Clinical Social Worker |
| 44SC01275800 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child and Family Psychological Services, PLLC | Mental Health | Current | Accepting new patients |
Locations
10 Cabot Rd
Ste 205
Medford, MA 02155
Phone (617) 912-7500
2 Newton Executive Park
Newtonville, MA 02462
Phone (617) 313-7267
89 Access Rd
Ste 24
Norwood, MA 02062
Phone (781) 336-5040
169 Libbey Park
Ste 2
Weymouth, MA 02189
Phone (781) 682-1060
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760313600000",
"number": "1780969519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 SEARS ISLAND DRIVE",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01606",
"telephone_number": "215-208-1696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48 SEARS ISLAND DRIVE",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01606",
"telephone_number": "215-208-1696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUCE",
"first_name": "JAMIE",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "LICSW, LCSW, ACSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-12",
"last_updated": "2025-10-13",
"certification_date": "2025-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW014707",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC01275800",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "121613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAMIE",
"last_name": "COONAN",
"middle_name": "LYNN",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}
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 Oct 13, 2025; 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.