Jill A. Grace Hersch, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L3235 Issued in OR

Practice address

3 Community Rd
Marblehead, MA 01945-2706

Phone

(541) 488-0883

Fax

(541) 488-0893

NPI assigned

Jan 21, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jill A. Grace Former name

Medicare fee-for-service enrollment

Enrolled in OR, MA2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

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 and National Provider Directory roles.

• Jill a. Grace Hersch, Licsw, PC

  • Clinical Social Worker
  • Marblehead, MA
  • NPI 1376359778

  Clinical, MA

  Medicare reassignment NPD Authorized official
• Jill a. Grace Hersch PHD MSW LCSW PC

  • Clinical Social Worker
  • Ashland, OR
  • NPI 1720131725

  Clinical, OR

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1169337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1992858997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 COMMUNITY RD",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019452706",
            "telephone_number": "541-488-0883",
            "fax_number": "541-488-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 COMMUNITY RD",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019452706",
            "telephone_number": "541-488-0883",
            "fax_number": "541-488-0893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACE HERSCH",
        "first_name": "JILL",
        "middle_name": "A.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-21",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS19812",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L3235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "GRACE",
            "middle_name": "A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Yvette O Glina, DDS
• Jeffrey Samuel Gold, MD
• Sarah Jane Gold, L.M.H.C.
• Rachelle L Goldberg, LMFT
• Matthew Robert Goodnow, PSY.D, HSP
• Stephanie Karahalis Green, M.D.
• Tracey G Green, LIC. AC.
• Amy N Greene, LICSW
• Group One Smiles PLLC
• Linda Guy

• All providers in Marblehead, MA
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.