JILL MARIE DEFOE (LICSW) – Mental Health Counselor, NPI 1265532360

JILL MARIE DEFOE (LICSW) is a healthcare provider. based in Acton, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 1026231 (MA). The NPI Number for JILL MARIE DEFOE (LICSW) is 1265532360

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
JILL MARIE DEFOE (LICSW)
NPI
1265532360
Phone
(978) 263-6847
Address
101 CENTRAL ST
Enumeration Date
25 September 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9782636847
Graduation Year
1993 (33 years ago)
PAC ID
5092931394
Professional Enrollment ID
I20140804002086
Address ID
MA017202725AC101XXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

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Provider Addresses for JILL MARIE DEFOE (LICSW)

  • 101, Central Street, South Acton, Acton, Middlesex County, Massachusetts, 01720, United States

    ACTON, MA 017202725

    Phone: (978) 263-6847

    Fax: (978) 263-3946

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-08-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140804002086IClinical Social WorkerMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01720)

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Reviews

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Frequently asked questions

What unique ID ties claims to JILL MARIE DEFOE (LICSW)?
NPI 1265532360 is assigned to JILL MARIE DEFOE (LICSW) under the national enumeration system.
Is JILL MARIE DEFOE (LICSW)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does JILL MARIE DEFOE (LICSW) list a primary specialty?
If you are matching referrals, note Mental Health Counselor for JILL MARIE DEFOE (LICSW). Clinical services aligned with this taxonomy classification.
What location shows for JILL MARIE DEFOE (LICSW)?
We surface Acton, Massachusetts for JILL MARIE DEFOE (LICSW) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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