Jelisa Adair, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

628375 Issued in MA

Practice address

216 Tremont St
Boston, MA 02116-4710

Phone

(617) 824-8595

NPI assigned

May 20, 2019

Last updated

Nov 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1811554488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CHILCOTT PL APT 2",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021304552",
            "telephone_number": "508-847-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 TREMONT ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021164710",
            "telephone_number": "617-824-8595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "185 Devonshire St Ste 502",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021101407",
            "country_code": "US",
            "telephone_number": "617-356-7384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAIR",
        "first_name": "JELISA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "628375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jelisa_adair@emerson.edu",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "affiliationName": "Emerson College",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "216 Tremont St",
            "city": "Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021164710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Nicole Adach, MA
• Alessandro Adad Jammal, MD, PHD
• Nneoma Adaku, MD, PHD
• Jason Adam, DDS
• Wesam Adam
• Georgios Adamakis, MSPT
• Hector Y Adames, PSY.D.

• Clinical Social Worker in Boston, MA
• Providers in Boston, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.