Individual provider Active NPI

Janice Dianne Palken Tervo, LICSW

  • Clinical Social Worker
  • Littleton, MA
National Provider Identifier
1972686178
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1019446 Issued in MA
Practice address
23 George St
Littleton, MA 01460-1710
Phone
(978) 952-2578
Fax
(978) 486-0354
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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 1019446 MA Primary

Addresses

Primary practice location

23 George St
Littleton, MA 01460-1710

Mailing address

23 George St
Littleton, MA 01460-1710
Phone (978) 952-2578

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
I20051025000888 MA Practitioner - Clinical Social Worker 3678590080 Practice locations: Littleton, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

23 George St
Littleton, MA 01460-1710
Phone (978) 952-2578

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Healthlink, Inc. Past 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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1972686178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 GEORGE ST",
            "city": "LITTLETON",
            "state": "MA",
            "postal_code": "014601710",
            "telephone_number": "978-952-2578",
            "fax_number": "978-486-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 GEORGE ST",
            "city": "LITTLETON",
            "state": "MA",
            "postal_code": "014601710",
            "telephone_number": "978-952-2578",
            "fax_number": "978-486-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALKEN TERVO",
        "first_name": "JANICE",
        "middle_name": "DIANNE",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1019446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, MA

Sources for this page

Verify at the official NPI Registry.