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JENNIFER KONINGISOR
NPI 1588204259
Social Worker in Brockton, MA

Active since January 10, 2020PECOS Enrolled
63 MAIN ST, BROCKTON, MA 02301(508) 559-6699(508) 559-5073 Get Directions Write a Review

NPPES record last updated: January 10, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jennifer Koningisor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER KONINGISOR (NPI 1588204259) is an individual social worker in Brockton, Massachusetts, licensed in Massachusetts (122489) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588204259
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameJENNIFER KONINGISOR
Location Address63 MAIN STBrockton, MA 02301-4042
Mailing Address63 Main StBrockton, MA 02301-4042 · (508) 559-6699 · Fax (508) 559-5073
Phone(508) 559-6699
Fax(508) 559-5073
Sole ProprietorNo
Enumeration DateJanuary 10, 2020
✔ NPI 1588204259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in MA · 122489
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
63 MAIN ST, Brockton, MA 02301
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Koningisor is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Koningisor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Brockton Neighborhood Health Center
Same address
Federally Qualified Health Center (FQHC)
63 MAIN ST
Brockton, MA 02301
  • Reassigned Medicare billing, Massachusetts enrollment
  • 128 clinicians in this Medicare group
NPI 1225085319 (508) 559-6699

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GLORIA IBARRA M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
63 MAIN ST
BROCKTON, MA 02301
Plymouth County (508) 559-6699
SAIRA GHANY
Dental Hygienist
63 MAIN ST
BROCKTON, MA 02301
Plymouth County (508) 559-6699
JANINA MARIE COLAVITA NP
Nurse Practitioner (Adult Health)
63 MAIN ST
BROCKTON, MA 02301
Plymouth County (508) 894-3473
ELSIE VARUGHESE M.D.
Internal Medicine
63 MAIN ST
BROCKTON, MA 02301
Plymouth County (508) 559-6699
DR. TRANG THANH NGUYEN DMD
Dentist (General Practice)
63 MAIN ST
BROCKTON, MA 02301
Plymouth County (508) 559-6699
SHEINA JEAN-MARIE DMD
Dentist (General Practice)
63 MAIN ST
BROCKTON, MA 02301
Plymouth County (508) 559-6699
GRIGOR MARTIROSYAN OD
Optometrist
63 MAIN ST
BROCKTON, MA 02301
Plymouth County (508) 894-3444
JACQUELINE SPENCER
Registered Nurse
63 MAIN ST
BROCKTON, MA 02301
Plymouth County (508) 559-6699

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Koningisor's NPI number?

The NPI number for Jennifer Koningisor is 1588204259. It was assigned to this individual provider in the NPPES registry on January 10, 2020.

Where is Jennifer Koningisor located?

Jennifer Koningisor practices at 63 Main St, Brockton, MA 02301. The listed phone number is (508) 559-6699.

What is Jennifer Koningisor's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Jennifer Koningisor enrolled in Medicare?

Yes. Jennifer Koningisor is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jennifer Koningisor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Koningisor reassigns Medicare benefits to Brockton Neighborhood Health Center (Brockton, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Koningisor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Koningisor accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Jennifer Koningisor as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer Koningisor was last updated on January 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.