Individual provider Active NPI

Jennifer L Jolly, LICSW

  • Clinical Social Worker
  • Fall River, MA
National Provider Identifier
1922269869
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
116484 Issued in MA
Practice address
371 S Main St Ste 202
Fall River, MA 02721-5348
Phone
(800) 523-7101
Fax
(401) 740-2204
NPI assigned
Jun 23, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 116484 MA Primary
Clinical Social Worker 1041C0700X ISW02860 RI

Addresses

Primary practice location

371 S Main St Ste 202
Fall River, MA 02721-5348

Mailing address

50 Brook Haven Dr Apt 10
Attleboro, MA 02703-5164
Phone (800) 523-7101

Other practice location 1

201 Washington Rd
Barrington, RI 02806-1864
Phone (800) 523-7101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120412000561 MA Practitioner - Clinical Social Worker 6901067271 Reassigns benefits to 1 organization
Practice locations: Barrington, RI; Fall River, MA
I20230601001272 RI Practitioner - Clinical Social Worker 6901067271 Practice locations: Barrington, RI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Barrington, RI 02806
Phone (800) 523-7101

201 Washington Rd
Suite 202
Barrington, RI 02806-1864
Phone (800) 523-7101

371 S Main St
Suite 202
Fall River, MA 02721-5348
Phone (800) 523-7101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: jjolly16801@direct.southcoast.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1922269869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BROOK HAVEN DR APT 10",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027035164",
            "telephone_number": "800-523-7101",
            "fax_number": "401-740-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 S MAIN ST STE 202",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027215348",
            "telephone_number": "800-523-7101",
            "fax_number": "401-740-2204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Washington Rd",
            "address_purpose": "LOCATION",
            "city": "Barrington",
            "state": "RI",
            "postal_code": "028061864",
            "country_code": "US",
            "telephone_number": "800-523-7101",
            "fax_number": "401-740-2204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOLLY",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-23",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "116484",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW02860",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.