JEFFREY LIVINGSTON (LICSW) – Clinical Social Worker, NPI 1669407805

JEFFREY LIVINGSTON (LICSW) is a healthcare provider. based in Palmer, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 110534 (MA). The NPI Number for JEFFREY LIVINGSTON (LICSW) is 1669407805

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
JEFFREY LIVINGSTON (LICSW)
NPI
1669407805
Phone
(413) 283-7651
Address
40 WRIGHT STREET
Enumeration Date
12 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4132837651
Graduation Year
1986 (40 years ago)
PAC ID
2062439904
Group Practice PAC ID
9335048321
Professional Enrollment ID
I20051029000089
Address ID
MA010691156PA42XXXSTXX300
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 JEFFREY LIVINGSTON (LICSW)

  • Wing Memorial Hospital, 40, Wright Street, Palmer Green Estates, Palmer, Hampden County, Massachusetts, 01069, United States

    PALMER, MA 01069

    Phone: (413) 283-7651

    Fax: (413) 284-5117

    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: 2005-10-29

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
I20051029000089IClinical 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour40117$0
View full utilization report →

Insurance plans in this area (ZIP 01069)

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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: 9335048321View full group profile

Reviews

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Frequently asked questions

What federal number belongs to JEFFREY LIVINGSTON (LICSW)?
The federal identifier for JEFFREY LIVINGSTON (LICSW) is NPI 1669407805.
Is JEFFREY LIVINGSTON (LICSW) currently active in the NPI registry?
CMS-published data lists JEFFREY LIVINGSTON (LICSW) as an active registrant.
What field does JEFFREY LIVINGSTON (LICSW) work in?
You can think of JEFFREY LIVINGSTON (LICSW) as practicing within Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What location shows for JEFFREY LIVINGSTON (LICSW)?
We surface Palmer, Massachusetts for JEFFREY LIVINGSTON (LICSW) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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