MS. JENNIFER L JOLLY (LICSW) – Clinical Social Worker, NPI 1922269869
Clinical Social Worker
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Profile Insights
NPPES metrics only — not quality of care.
4,194 CLINICAL SOCIAL WORKER in MA
Provider Addresses for MS. JENNIFER L JOLLY (LICSW)
180, Mill Road, Nasketucket, Fairhaven, Bristol County, Massachusetts, 02719, United States
FAIRHAVEN, MA 027195255
Phone: (508) 973-2000
Fax: (508) 973-2001
Type: Mailing
200 Mill Rd Ste 120
Fairhaven, MA 027195252
Phone: (508) 973-3200
Fax: (508) 973-3215
Type: Location
101 Page St
New Bedford, MA 027403464
Phone: (508) 973-5788
Fax: (508) 973-5599
Type: Location
371S MAIN ST 202A
FALL RIVER, MA 027215348
Phone: (401) 396-5971
Fax: (401) 396-5971
Type: Location
50 BROOK HAVEN DR APT 10
ATTLEBORO, MA 027035164
Phone: (800) 523-7101
Fax: (401) 740-2204
Type: Mailing
371 S MAIN ST STE 202
FALL RIVER, MA 027215348
Phone: (800) 523-7101
Fax: (401) 740-2204
Type: Location
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: 2023-06-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120412000561 | I | Clinical Social Worker | MA | TBD |
| I20230601001272 | I | Clinical Social Worker | RI | TBD |
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.
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 02719)
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