Jennifer Lee Crivellaro, LCSW
Individual provider Active NPI Mental Health Counselor · Foxboro, MA
NPI 1245063189 · NPPES record last updated Aug 26, 2024
Key facts
- NPI
- 1245063189
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 132 Central St Ste 215
Foxboro, MA 02035-2463 - Phone
- (781) 570-3530
- NPI assigned
- Aug 26, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MA | Yes |
Addresses
Primary practice location
132 Central St Ste 215
Foxboro, MA 02035-2463
Mailing address
3 Boulevard St Ste 1R
Milton, MA 02186-5400
Other providers in Foxboro, MA
- Paul Coleman-Psyche Nurse Practitioner
- Jodi Gordon Congdon
- Wesley V Congdon
- Lucille Cook
- David Coughlin
- Emily Cronin
- Jonathan B Croopnick
- Melissa Ann Culkins
- Caitlin Cullen
- Reilly Cullen
All providers in Foxboro, MA · Mental Health Counselor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2024. 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.