Jennifer Cole Baima, MSW, LICSW

Individual provider Active NPI Clinical Social Worker · Danvers, MA

NPI 1265914501 · NPPES record last updated Sep 4, 2018

Key facts

NPI
1265914501
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
106859 (MA)
Practice address
75 Sylvan St Ste B102
Danvers, MA 01923-2764
Phone
(888) 283-1722
Fax
(978) 774-4389
NPI assigned
Sep 4, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
106859MAMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 106859 MA Yes

Addresses

Primary practice location

75 Sylvan St Ste B102
Danvers, MA 01923-2764

Mailing address

75 Sylvan St
Danvers, MA 01923-2763
Phone (888) 283-1722

Other providers in Danvers, MA

All providers in Danvers, MA · Clinical Social Worker in Massachusetts

Sources for this page

Verify at the official NPI Registry.