Andover Social Development and Counseling Center
Organization Active NPI Clinical Social Worker · Andover, MA
NPI 1215411376 · NPPES record last updated Sep 24, 2018
Key facts
- NPI
- 1215411376
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- ANDOVER SOCIAL DEVELOPMENT AND COUNSELING CENTER
- Practice address
- 89 N Main St Ste 3
Andover, MA 01810-3581 - Phone
- (978) 771-6428
- NPI assigned
- Sep 24, 2018
- Organization subpart
- No
Authorized official
- Name
- Mrs. Jennifer Ann Rogers-Burke, LICSW
- Title
- Owner/ Director
- Phone
- (978) 077-1642
National Provider Directory
Locations
89 N Main St
Ste 3
Andover, MA 01810
Phone (978) 771-6428
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
89 N Main St Ste 3
Andover, MA 01810-3581
Mailing address
89 N Main St Ste 3
Andover, MA 01810-3581
Phone (978) 771-6428
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861910275 | Medicaid | MA |
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All providers in Andover, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.