Individual provider Active NPI

Jennifer Besarick, LICSW

  • Clinical Social Worker
  • Norwell, MA
National Provider Identifier
1861976102
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
116649 Issued in MA
Practice address
120 Longwater Dr
Norwell, MA 02061-1653
Phone
(781) 659-2342
NPI assigned
Sep 22, 2018
Last updated
Sep 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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 116649 MA Primary

Addresses

Primary practice location

120 Longwater Dr
Norwell, MA 02061-1653

Mailing address

120 Longwater Dr
Norwell, MA 02061-1653
Phone (781) 659-2342

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
116649MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Norwell Visiting Nurse Association Inc PastSince Sep 28, 2021 Accepting new patients
Norwell Visiting Nurse Association, Inc PastSince Sep 28, 2021 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1537574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1861976102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 LONGWATER DR",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611653",
            "telephone_number": "781-659-2342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 LONGWATER DR",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611653",
            "telephone_number": "781-659-2342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESARICK",
        "first_name": "JENNIFER",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-22",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "116649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.