JENNA WILLIS


Address: 431 River St Ste 1, Waltham, MA 02453
Phone: 7818910556

JENNA WILLIS (NPI# 1366970667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366970667
Entity Type Individual
Full Name JENNA WILLIS
Credential LCSW
Practice Address 431 River St Ste 1
Waltham
MA 02453
Mailing Address 431 River St Ste 1
Waltham
MA 02453-5483
Practice Telephone 7818910556
Mailing Telephone 7818910556
Enumeration Date 2017-05-31
Last Update Date 2018-07-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
223676 MA Behavioral Health & Social Service Providers
N 1041C0700X Social Worker
Specialization: Clinical
Behavioral Health & Social Service Providers

Other Providers JENNA WILLIS

NPI Name Taxonomy Address Enumeration
1447870001 Jenna Diane Willis Counselor 57214 Eagle Pass Rd, Hatteras, NC 27943-0425 2020-04-23
1942716600 Jenna Willis Social Worker 10895 Dayton Way, Henderson, CO 80640-7549 2017-12-18

Office Location

Street Address 431 RIVER ST STE 1
City WALTHAM
State MA
Zip Code 02453

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467684241 Jill B Lofchie Social Worker 431 River St Ste 1, Waltham, MA 02453 2009-08-13
1447865605 Zachary Solomons Social Worker 431 River St Ste 1, Waltham, MA 02453-5483 2020-09-14
1699389502 Simone Matthews Counselor 431 River St Ste 1, Waltham, MA 02453-5483 2020-09-08
1154935054 Charlotte J Miller Social Worker 431 River St Ste 1, Waltham, MA 02453-5483 2020-09-08
1245849959 Alexandra Marie Hamel Social Worker 431 River St Ste 1, Waltham, MA 02453-5483 2020-07-28
1962010280 Nicole Diaz-ortiz Counselor 431 River St Ste 1, Waltham, MA 02453-5483 2020-07-22
1104472257 Elizabeth Rosenfield Counselor 431 River St Ste 1, Waltham, MA 02453-5483 2019-08-14
1366098618 Lauren S Harper Counselor 431 River St Ste 1, Waltham, MA 02453-5483 2019-08-13
1033691225 Anne Hilburn Counselor 431 River St Ste 1, Waltham, MA 02453-5483 2018-09-04
1700367448 Maria Epstein Social Worker 431 River St Ste 1, Waltham, MA 02453-5483 2018-08-21
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811595770 Bj's Wholesale Club Inc. Eyewear Supplier (Equipment, not the service) 66 Seyon St, Waltham, MA 02453 2020-10-13
1679040935 Elsa L. Lichman Social Worker 52 Derby Street, Waltham, MA 02453 2018-10-25
1760957468 Sherry Leigh Miller Counselor C/o Children's Charter, 77 Rumford Ave, Waltham, MA 02453 2018-10-09
1639644651 Leo V Sarkissian Social Worker The Arc of Massachusetts, 217 South Street, Waltham, MA 02453 2018-10-05
1629569512 Abaytum Investments Inc Home Health 24 Crescent Street, Suite 104, Waltham, MA 02453 2018-05-25
1225542970 Mikayla E Culpo Nurse Practitioner 9 Hope Ave Fl Bch4, Waltham, MA 02453 2017-11-16
1568975449 Twyla Atherna Everett Massage Therapist 212 Calvary St, Waltham, MA 02453 2017-11-14
1407369382 Eli Miller Counselor 431 River Street, Suite 1, Waltham, MA 02453 2017-11-14
1396263927 Jill Zaricor Student in an Organized Health Care Education/Training Program 77 Rumford Ave C/o Children's Charter, Waltham, MA 02453 2017-09-04
1538683008 Michael Scaduto Physical Therapist 110-1 Clematis Ave, Waltham, MA 02453 2017-07-27
Find all providers in zip 02453

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760082945 Natalie Pierpont Waggaman Social Worker 34 Hamilton Rd, Waltham, MA 02453-1516 2020-10-28
1528527033 Kelly Fanty Social Worker 355 Waverly Oaks Rd Ste 100, Waltham, MA 02452-8480 2019-03-14
1578035721 Sarah Elizabeth Teeven Social Worker 17 Linden Park Dr, Waltham, MA 02452-6216 2018-12-28
1588132682 Lee Ann Walker Lowe Social Worker 99 Bright St # 2, Waltham, MA 02453-6580 2018-11-06
1679040935 Elsa L. Lichman Social Worker 52 Derby Street, Waltham, MA 02453 2018-10-25
1699240606 Ronda Marie Randazzo Social Worker 309 Waverly Oaks Rd, Waltham, MA 02452-8443 2018-10-05
1518442870 Jody O Gastfriend Social Worker 77 4th Ave, Waltham, MA 02451-7559 2018-10-02
1356826614 Jill Mcnamara Social Worker 77 4th Ave Ste 500, Waltham, MA 02451-7559 2018-10-02
1124503792 Janet Louise Mason Social Worker 88 Fuller St, Waltham, MA 02453-5841 2018-09-30
1245715879 Annie F Friedman Social Worker Extended Stay America, 32 4the Avenue, Waltham, MA 02451 2018-09-28
Find all providers in WALTHAM

Competitor

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City WALTHAM
Zip Code 02453

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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