Individual provider Active NPI

Jessica K Morales, LICSW

  • Social Worker
  • Norwell, MA
National Provider Identifier
1942436241
Registry record updated Oct 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
118420 Issued in MA
Practice address
28 Silver Brook LN
Norwell, MA 02061-2445
Phone
(781) 204-0110
NPI assigned
Jun 2, 2009
Last updated
Oct 14, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 118420 MA Primary

Addresses

Primary practice location

28 Silver Brook LN
Norwell, MA 02061-2445

Mailing address

28 Silver Brook LN
Norwell, MA 02061-2445
Phone (781) 204-0110

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
I20141006002094 MA Practitioner - Clinical Social Worker 6204056633 Reassigns benefits to 1 organization
Practice locations: Hingham, MA; Plymouth, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

139 Court St
Plymouth, MA 02360-8711
Phone (781) 204-0110

99 Derby St
Suite 271
Hingham, MA 02043-4216
Phone (781) 204-0110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
118420MAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Mental Health Center, Inc. CurrentSince Jul 30, 2014 Accepting new patients

Locations

1501 Washington St
Braintree, MA 02184
Phone (617) 745-2709

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": "1243900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413244800000",
    "number": "1942436241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 SILVER BROOK LN",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020612445",
            "telephone_number": "781-204-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 SILVER BROOK LN",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020612445",
            "telephone_number": "781-204-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES",
        "first_name": "JESSICA",
        "middle_name": "K",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-02",
        "last_updated": "2014-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "118420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwell, MA

Sources for this page

Verify at the official NPI Registry.