Individual provider Active NPI

Jessica Hammon Webb, LICSW

  • Clinical Social Worker
  • South Hamilton, MA
National Provider Identifier
1891121471
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
118638 Issued in MA
Practice address
205 Willow St Ste B3F
South Hamilton, MA 01982-2253
Phone
(978) 239-7633
NPI assigned
Sep 16, 2013
Last updated
Jun 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 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 118638 MA Primary

Addresses

Primary practice location

205 Willow St Ste B3F
South Hamilton, MA 01982-2253

Mailing address

11 Winthrop St
Essex, MA 01929-1203
Phone (978) 239-7633

Other practice location 1

500 Cummings Ctr Ste 6500
Beverly, MA 01915-6234
Phone (978) 239-7633

Other practice location 2

7 Saint Anthonys Ln
Gloucester, MA 01930-4262
Phone (978) 283-2702

Other names 1

  • Jessica Hammon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200121001477 MA Practitioner - Clinical Social Worker 5890120844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

205 Willow St
Suite B3F
South Hamilton, MA 01982-2253
Phone (978) 239-7633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
118638MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
River Rock Counseling LLC Clinical CurrentSince Jun 1, 2021 Accepting new patients

Locations

435 Newbury St
Ste 210
Danvers, MA 01923
Phone (310) 729-6709

205 Willow St
Ste B3F
South Hamilton, MA 01982
Phone (978) 233-1470

Organizations & group practices 1

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": "1379289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1891121471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 WINTHROP ST",
            "city": "ESSEX",
            "state": "MA",
            "postal_code": "019291203",
            "telephone_number": "978-239-7633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 WILLOW ST STE B3F",
            "city": "SOUTH HAMILTON",
            "state": "MA",
            "postal_code": "019822253",
            "telephone_number": "978-239-7633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Cummings Ctr Ste 6500",
            "address_purpose": "LOCATION",
            "city": "Beverly",
            "state": "MA",
            "postal_code": "019156234",
            "country_code": "US",
            "telephone_number": "978-239-7633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7 Saint Anthonys Ln",
            "address_purpose": "LOCATION",
            "city": "Gloucester",
            "state": "MA",
            "postal_code": "019304262",
            "country_code": "US",
            "telephone_number": "978-283-2702",
            "fax_number": "978-283-0743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBB",
        "first_name": "JESSICA",
        "middle_name": "HAMMON",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-16",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "118638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "HAMMON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in South Hamilton, MA

Sources for this page

Verify at the official NPI Registry.