Jill Michelle Roffman Levine, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1025193 Issued in MA

Practice address

162 Boston St
Lynn, MA 01904

Phone

(978) 750-6828

NPI assigned

Jul 28, 2008

Last updated

Jun 5, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Jill M Levine Former name

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

Specialty

Clinical Social Worker

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Congenial Healthcare LLCGroup PAC ID 5395011522, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Congenial Healthcare, LLC

  • Internal Medicine Physician
  • Peabody, MA
  • NPI 1730608720
  Medicare reassignment Care Compare group NPD
• Supportive Behavioral Care of Ma LLC

  • Clinical Psychologist
  • Needham, MA
  • NPI 1780115519
  Medicare reassignment NPD
• Congenial Healthcare, LLC

  dba Middleton Family Medicine Associates

  • Family Medicine Physician
  • Middleton, MA
  • NPI 1063923399
  NPD
• Congenial Healthcare, LLC

  dba Bhagwan Gupta, MD, PC

  • Cardiovascular Disease Physician
  • Lynnfield, MA
  • NPI 1407367741
  NPD

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1952566002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 MANTON RD",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "019071528",
            "telephone_number": "339-440-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 BOSTON ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "01904",
            "telephone_number": "978-750-6828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROFFMAN LEVINE",
        "first_name": "JILL",
        "middle_name": "MICHELLE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-28",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1025193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "LEVINE",
            "middle_name": "M",
            "prefix": "MRS.",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Claudia Liliana Rodriguez, RN
• Joshua Manuel Rodriguez
• Lissa Rodriguez
• Rosselyn Rodriguez
• Tyla Rodriguez
• Kerri L Rogers
• Kevin Francis Rogers, LADC1, ASSOC. COUN
• Kimberly Rogers
• Nicole Rogers
• Julieta Maria Romano, FNP

• Clinical Social Worker in Lynn, MA
• Providers in Lynn, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.