JILL MICHELLE ROFFMAN LEVINE (LICSW) – Clinical Social Worker, NPI 1952566002

JILL MICHELLE ROFFMAN LEVINE (LICSW) is a healthcare provider. based in Swampscott, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 1025193 (MA). The NPI Number for JILL MICHELLE ROFFMAN LEVINE (LICSW) is 1952566002

Main info

Female
Sole Proprietor
34 Years Of Experience
Accepts Medicare Assignment
Name
JILL MICHELLE ROFFMAN LEVINE (LICSW)
NPI
1952566002
Phone
(339) 440-0056
Address
29 MANTON RD
Enumeration Date
28 July 2008
Last Update Date
5 June 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9785360215
Graduation Year
1992 (34 years ago)
PAC ID
5496894396
Group Practice PAC ID
5395011522
Professional Enrollment ID
I20091207000392
Address ID
MA019602227PE1XXXXAVEX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

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Provider Addresses for JILL MICHELLE ROFFMAN LEVINE (LICSW)

  • 29, Manton Road, Beach Bluff, Swampscott, Essex County, Massachusetts, 01907, United States

    SWAMPSCOTT, MA 019071528

    Phone: (339) 440-0056

    Type: Mailing

  • 162;164, Boston Street, Lynn, Essex County, Massachusetts, 01901, United States

    LYNN, MA 01904

    Phone: (978) 750-6828

    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: 2009-12-07

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
I20091207000392IClinical 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 01907)

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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: 5395011522View full group profile
NameSpecialtyState
Family PracticeMA
-MA
Family PracticeMA
-MA
Plastic And Reconstructive SurgeryMA
Nurse PractitionerMA
Internal Medicine, General PracticeMA
Cardiovascular Disease (Cardiology), Internal MedicineMA
Nurse PractitionerMA
P S Y C H I A T R YMO

Reviews

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Frequently asked questions

How do payers reference JILL MICHELLE ROFFMAN LEVINE (LICSW)?
For JILL MICHELLE ROFFMAN LEVINE (LICSW), use NPI 1952566002 as the unique 10-digit identifier.
Is JILL MICHELLE ROFFMAN LEVINE (LICSW) shown as active in public data?
Registry records indicate JILL MICHELLE ROFFMAN LEVINE (LICSW) maintains an active NPI.
What expertise is attributed to JILL MICHELLE ROFFMAN LEVINE (LICSW)?
JILL MICHELLE ROFFMAN LEVINE (LICSW)'s specialty line reads Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JILL MICHELLE ROFFMAN LEVINE (LICSW)?
Travel planning: use Swampscott, Massachusetts as the reference point for JILL MICHELLE ROFFMAN LEVINE (LICSW), then confirm.
When was this NPI issued?
Enumeration for JILL MICHELLE ROFFMAN LEVINE (LICSW) is noted as July 28, 2008 where the registry provides it.

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