Jennifer Allen, LICSW
Individual provider Active NPI Clinical Social Worker · Andover, MA
NPI 1669956140 · NPPES record last updated Sep 20, 2018
Key facts
- NPI
- 1669956140
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 110189-SW-LICSW (MA)
- Practice address
- 10 Johnson Rd
Andover, MA 01810-1712 - Phone
- (978) 409-2933
- NPI assigned
- Sep 20, 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
| License | State | Type | Specialty |
|---|---|---|---|
| 110189-SW-LICSW | MA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 110189-SW-LICSW | MA | Yes |
Addresses
Primary practice location
10 Johnson Rd
Andover, MA 01810-1712
Mailing address
10 Johnson Rd
Andover, MA 01810-1712
Phone (978) 409-2933
Other providers in Andover, MA
- Aidaly Care Massachusetts LLC
- Mahmoud Al Masry
- Janelle Alabiso
- Alicia M. Abdella, MSW, Licsw LLC
- Align Health, LLC
- Kimberly S Allen
- Allison F Davidson LLC
- Max Alovisetti
- American Training Inc.
- Americare Homehealth Services Inc
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 20, 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.