Individual provider Active NPI

Jamie Wood Chiarelli, MSW/LICSW

  • Clinical Social Worker
  • Acton, MA
National Provider Identifier
1932355724
Registry record updated Feb 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
116191 Issued in MA
Practice address
380 Massachusetts Ave
Acton, MA 01720-3743
Phone
(978) 264-3500
NPI assigned
Aug 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2011

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 116191 MA Primary

Addresses

Primary practice location

380 Massachusetts Ave
Acton, MA 01720-3743

Mailing address

380 Massachusetts Ave
Acton, MA 01720-3743
Phone (978) 264-3500

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
116191MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Justice Resource Institute, Inc. PastSince Oct 1, 2011 Accepting new patients

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": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297382400000",
    "number": "1932355724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 MASSACHUSETTS AVE",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203743",
            "telephone_number": "978-264-3500",
            "fax_number": "978-263-3088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 MASSACHUSETTS AVE",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203743",
            "telephone_number": "978-264-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIARELLI",
        "first_name": "JAMIE",
        "middle_name": "WOOD",
        "name_prefix": "Ms.",
        "credential": "MSW/LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-12",
        "last_updated": "2011-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "116191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2011; 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.