JENNIFER BRILL (LICSW) – Clinical Social Worker, NPI 1285715276

JENNIFER BRILL (LICSW) is a healthcare provider. based in Cambridge, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 1017499 (MA). The NPI Number for JENNIFER BRILL (LICSW) is 1285715276

Main info

Female
40 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER BRILL (LICSW)
NPI
1285715276
Phone
(617) 491-1269
Address
675 MASSACHUSETTS AVE
Enumeration Date
18 October 2006
Last Update Date
8 September 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6178640941
Graduation Year
1986 (40 years ago)
PAC ID
7113956467
Group Practice PAC ID
7416919048
Professional Enrollment ID
I20050808000647
Address ID
MA021401628CA2500XAVEX300
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 JENNIFER BRILL (LICSW)

  • Leader Bank, 675, Massachusetts Avenue, Central Square, Cambridge, Middlesex County, Massachusetts, 02139, United States

    CAMBRIDGE, MA 021393309

    Phone: (617) 491-1269

    Fax: (617) 864-8586

    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: 2005-08-08

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
I20050808000647IClinical 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 02139)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416919048View full group profile

Reviews

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Frequently asked questions

How do I look up JENNIFER BRILL (LICSW) by NPI?
Use NPI 1285715276 when you need to reference JENNIFER BRILL (LICSW) in forms, claims, or directories.
Does this profile mean JENNIFER BRILL (LICSW) is currently active?
Yes — JENNIFER BRILL (LICSW) appears active in the national provider directory.
What does JENNIFER BRILL (LICSW) treat or focus on?
Patients typically see JENNIFER BRILL (LICSW) under the specialty Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What location metadata exists for JENNIFER BRILL (LICSW)?
The page summarizes Cambridge, Massachusetts for JENNIFER BRILL (LICSW); expand the address list for detail.
What if Cambridge, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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