Jennifer Basinger, LICSW
Individual provider Active NPI Clinical Social Worker · Needham, MA
NPI 1801166343 · NPPES record last updated May 20, 2024
Key facts
- NPI
- 1801166343
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 124704 (MA)
- Practice address
- 220 Reservoir St Suite 28
Needham, MA 02494 - Phone
- (781) 429-7755
- NPI assigned
- Dec 30, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124704 | MA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 124704 | MA | Yes |
Addresses
Primary practice location
220 Reservoir St Suite 28
Needham, MA 02494
Mailing address
220 Reservoir St Suite 28
Needham, MA 02494
Phone (781) 429-7755
Other names
- Jennifer Reid
Other providers in Needham, MA
- Karla A. Barbieri
- Leonard A Bard
- Traci Lee Bartlett
- Barton S Herskovitz MD PC
- Amy Beth Basile
- Jonathan Noah Bass
- Elisabeth C Bassler
- Marjorie Greenwell Clapp Bates
- Gregory Mark Bayse
- Beacon Hill Behavioral Health PLLC
All providers in Needham, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.