Jill Carr, LICSW

Individual provider Active NPI Clinical Social Worker · Plympton, MA

NPI 1669235347 · NPPES record last updated Feb 5, 2024

Key facts

NPI
1669235347
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
LICSW127173 (MA)
Practice address
24 Buttonwood Dr
Plympton, MA 02367-1621
Phone
(781) 910-8487
NPI assigned
Feb 5, 2024
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
LICSW127173MAMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LICSW127173 MA Yes

Addresses

Primary practice location

24 Buttonwood Dr
Plympton, MA 02367-1621

Mailing address

24 Buttonwood Dr
Plympton, MA 02367-1621
Phone (781) 910-8487

Other providers in Plympton, MA

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

Sources for this page

Verify at the official NPI Registry.