Individual provider Active NPI

Jennifer Brown, LICSW

  • Clinical Social Worker
  • Amesbury, MA
National Provider Identifier
1992146658
Registry record updated Jul 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
117317 Issued in MA
Practice address
24 Morrill PL
Amesbury, MA 01913-3530
Phone
(978) 388-5700
NPI assigned
Jul 10, 2013
Last updated
Jul 10, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2013

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 117317 MA Primary

Addresses

Primary practice location

24 Morrill PL
Amesbury, MA 01913-3530

Mailing address

17 Crystal Lake Rd
Haverhill, MA 01832-1060

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
I20130920000201 MA Practitioner - Clinical Social Worker 1850535493 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
117317MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psychotherapy Associates of North Reading Clinical CurrentSince Jan 1, 2016 Accepting new patients

Locations

5 Market Sq
Ste 102
Amesbury, MA 01913
Phone (978) 664-2556

58 Concord St
North Reading, MA 01864
Phone (866) 331-3345

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": "1373414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373414400000",
    "number": "1992146658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 CRYSTAL LAKE RD",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018321060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 MORRILL PL",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "019133530",
            "telephone_number": "978-388-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JENNIFER",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-10",
        "last_updated": "2013-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "117317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amesbury, MA

Sources for this page

Verify at the official NPI Registry.