Individual provider Active NPI

Jeanne Marie Dionne, MSW, LICSW

  • Clinical Social Worker
  • Osterville, MA
National Provider Identifier
1790771665
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
110502 Issued in MA
Practice address
3040 Falmouth Rd
Unit J3
Osterville, MA 02655-1200
Phone
(508) 428-3162
Fax
(508) 428-3162
NPI assigned
Sep 26, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 110502 MA Primary

Addresses

Primary practice location

3040 Falmouth Rd
Unit J3
Osterville, MA 02655-1200

Mailing address

3040 Falmouth Rd
Unit J3
Osterville, MA 02655-1200
Phone (508) 428-3162

Other identifiers 7

IdentifierTypeStateIssuer
A02520OtherMAPACIFICARE
352233600OtherMAMAGELLAN
2119663OtherMACIGNA
1153280OtherMABEACON HEALTH STRATEGIES
87726OtherMAUNITEDBEHAVIORALHEALTH
P07865OtherMABC/BS
P07865OtherMAMEDEX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040812001592 MA Practitioner - Clinical Social Worker 4688647225 Practice locations: Osterville, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3040 Falmouth Rd
J3
Osterville, MA 02655-1249
Phone (508) 428-3162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
110502MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
North Country Associates, Inc. Past Accepting new patients
Plymouth County Behavioral Health LLC PastSince Dec 1, 2022 Accepting new patients
Limbic Resources Past Accepting new patients

Organizations & group practices 3

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": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343001600000",
    "number": "1790771665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 FALMOUTH RD",
            "address_2": "UNIT J3",
            "city": "OSTERVILLE",
            "state": "MA",
            "postal_code": "026551200",
            "telephone_number": "508-428-3162",
            "fax_number": "508-428-3162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 FALMOUTH RD",
            "address_2": "UNIT J3",
            "city": "OSTERVILLE",
            "state": "MA",
            "postal_code": "026551200",
            "telephone_number": "508-428-3162",
            "fax_number": "508-428-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIONNE",
        "first_name": "JEANNE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-26",
        "last_updated": "2012-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "110502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE",
            "identifier": "A02520",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "352233600",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2119663",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON HEALTH STRATEGIES",
            "identifier": "1153280",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDBEHAVIORALHEALTH",
            "identifier": "87726",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "P07865",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDEX",
            "identifier": "P07865",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Osterville, MA

Sources for this page

Verify at the official NPI Registry.