Active NPI
Jane S Farrell
- Clinical Social Worker
- North Quincy, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 121981
- Practice address
- 110 W Squantum St
North Quincy, MA 02171 - Phone
- (617) 376-3000
- NPI assigned
- Dec 9, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 222013 | MA | |
| Clinical Social Worker | 1041C0700X | 121981 | MA | Primary |
Addresses
Primary practice location
110 W Squantum St
North Quincy, MA 02171
Mailing address
110 W Squantum St
North Quincy, MA 02171-2122
Phone (617) 376-3000
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190319000555 | MA | Practitioner - Clinical Social Worker | 4688914203 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manet Community Health Center, Inc. | Current | Accepting new patients | |
| Manet Community Health Center, Inc. | Current | Accepting new patients |
Locations
180 George Washington Blvd
Hull, MA 02045
Phone (781) 925-4550
9 Bicknell St
Quincy, MA 02169
Phone (617) 376-3000
1193 Sea St
Quincy, MA 02169
Phone (617) 471-8683
110 W Squantum St
Quincy, MA 02171
Phone (617) 376-3000
Interoperability endpoints
- https://api.platform.athenahealth.com/4368/brand/1/csg/1/fhir/r4
Organizations & group practices 9
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.
-
- Federally Qualified Health Center (FQHC)
- North Quincy, MA
- NPI 1114027539
MA
-
- Federally Qualified Health Center (FQHC)
- Taunton, MA
- NPI 1063123271
-
- Federally Qualified Health Center (FQHC)
- Hull, MA
- NPI 1285665018
-
- Federally Qualified Health Center (FQHC)
- Attleboro, MA
- NPI 1336711456
-
- Federally Qualified Health Center (FQHC)
- Quincy, MA
- NPI 1376574103
-
- Federally Qualified Health Center (FQHC)
- Quincy, MA
- NPI 1427795681
-
- Federally Qualified Health Center (FQHC)
- North Quincy, MA
- NPI 1467483297
-
- Federally Qualified Health Center (FQHC)
- Taunton, MA
- NPI 1861817504
-
- Federally Qualified Health Center (FQHC)
- Quincy, MA
- NPI 1891731956
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Manet Community Health Center, Inc.
Practice addresses (Care Compare)
110 W Squantum St
Quincy, MA 02171-2122
Phone (617) 376-3000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557446400000",
"number": "1972074474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 W SQUANTUM ST",
"city": "NORTH QUINCY",
"state": "MA",
"postal_code": "021712122",
"telephone_number": "617-376-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 W SQUANTUM ST",
"city": "NORTH QUINCY",
"state": "MA",
"postal_code": "02171",
"telephone_number": "617-376-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRELL",
"first_name": "JANE",
"middle_name": "S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-09",
"last_updated": "2019-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "222013",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "121981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; 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.