Active NPI
Jill Greg Fleischner, LICSW
- Clinical Social Worker
- South Deerfield, MA
National Provider Identifier
1841332574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1030561
- Practice address
- 110 N Hillside Rd
South Deerfield, MA 01373-9726 - Phone
- (413) 552-7054
- NPI assigned
- Feb 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1030561 | MA | Primary |
Addresses
Primary practice location
110 N Hillside Rd
South Deerfield, MA 01373-9726
Mailing address
300 Falls Rd
Sunderland, MA 01375-9617
Phone (413) 552-7054
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 389753 | Other | BLUE CROSS | |
| 1893068 | Medicaid | MA | |
| P08489 | Other | BLUE CROSS | |
| 1893468 | Other | MA | MASS HEALTH MBHP |
| 354601 | Other | MA | TUFTS |
| 389753 | Other | MAGELLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1030561 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364083200000",
"number": "1841332574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 FALLS RD",
"city": "SUNDERLAND",
"state": "MA",
"postal_code": "013759617",
"telephone_number": "413-552-7054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 N HILLSIDE RD",
"city": "SOUTH DEERFIELD",
"state": "MA",
"postal_code": "013739726",
"telephone_number": "413-552-7054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEISCHNER",
"first_name": "JILL",
"middle_name": "GREG",
"name_prefix": "Mrs.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-12",
"last_updated": "2013-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1030561",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "389753",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1893068",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "P08489",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASS HEALTH MBHP",
"identifier": "1893468",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "354601",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "389753",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in South Deerfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.