Individual provider Active NPI

Catherine Jean, LICSW

  • Clinical Social Worker
  • Haverhill, MA
National Provider Identifier
1952321911
Registry record updated Feb 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1026430 Issued in MA
Practice address
76 Summer St
Haverhill, MA 01830-5814
Phone
(978) 373-8222
Fax
(979) 373-8223
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2012

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 1026430 MA Primary

Addresses

Primary practice location

76 Summer St
Haverhill, MA 01830-5814

Mailing address

9 Scott Field
Rowley, MA 01969
Phone (978) 948-2183

Other identifiers 2

IdentifierTypeStateIssuer
62-00163OtherMAEVERCARE
800007710OtherMARAIL ROAD MEDICARE

Other names 1

  • Catherine R Liberti 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
I20050728000889 MA Practitioner - Clinical Social Worker 5092743336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nova Psychiatric Services, P.CGroup PAC ID 4183524887, 17 clinicians

Practice addresses (Care Compare)

1261 Furnace Brook Pkwy
Suite 31
Quincy, MA 02169-4787
Phone (617) 479-4545

851 Main St
Suite 4
Weymouth, MA 02190-1613
Phone (781) 821-2701

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1026430MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Psychiatric Services, PC CurrentSince Oct 1, 2012 Accepting new patients

Locations

234 Copeland St
Ste 320
Quincy, MA 02169

851 Main St
Ste 4
Weymouth, MA 02190
Phone (781) 340-1222

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328832000000",
    "number": "1952321911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 SCOTT FIELD",
            "city": "ROWLEY",
            "state": "MA",
            "postal_code": "01969",
            "telephone_number": "978-948-2183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 SUMMER ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018305814",
            "telephone_number": "978-373-8222",
            "fax_number": "979-373-8223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN",
        "first_name": "CATHERINE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2012-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1026430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "62-00163",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "800007710",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "LIBERTI",
            "middle_name": "R",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Haverhill, MA

Sources for this page

Verify at the official NPI Registry.