Jennifer Jean Brennan, LICSW
Individual provider Active NPI Clinical Social Worker · Whitman, MA
NPI 1821155565 · NPPES record last updated May 28, 2021
Key facts
- NPI
- 1821155565
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 117360 (MA)
- Practice address
- 534 Hogg Memorial Dr
Whitman, MA 02382-1831 - Phone
- (617) 515-2656
- NPI assigned
- Jan 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
Waddell, AZ 85355
Phone (781) 656-5309
9117 N 181St Ave Unit
Suite 52
Waddell, AZ 85355-7668
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MA, AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140804000065 | MA | Practitioner - Clinical Social Worker | 6800012592 | Practice locations: Norwell, MA |
| I20260323000054 | AZ | Practitioner - Clinical Social Worker | 6800012592 | Practice locations: Waddell, AZ |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 117360 | MA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 117360 | MA | Yes |
Addresses
Primary practice location
534 Hogg Memorial Dr
Whitman, MA 02382-1831
Mailing address
534 Hogg Memorial Dr
Whitman, MA 02382-1831
Phone (617) 515-2656
Other practice location 1
80 Washington St
Suite C-17
Norwell, MA 02061-1740
Phone (781) 656-5309
Other providers in Whitman, MA
- John Richard Bonasera
- Aisha Bonny
- Joseph C Boss
- Breanna Marie Bowker
- Nicole Marie Brandolini
- Brockton Area Multi-Services, Inc.
- Jehanne E Burch
- Lauren Gaskill Capozzi
- Constance Anne Cardillo-Backoff
- Carr Chiropractic
All providers in Whitman, 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 28, 2021. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.