Maureen Jackman, LICSW
Individual provider Active NPI Behavior Analyst · Topsfield, MA
NPI 1992076848 · NPPES record last updated Apr 16, 2015
Key facts
- NPI
- 1992076848
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 18 Forrest Rd
Topsfield, MA 01983-1607 - Phone
- (978) 549-2612
- NPI assigned
- Jan 24, 2012
- 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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110910 | MA | MD | School Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 110910 | MA | |
| School Social Worker | 1041S0200X | 110910 | MA | |
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
18 Forrest Rd
Topsfield, MA 01983-1607
Mailing address
18 Forrest Rd
Topsfield, MA 01983-1607
Phone (978) 549-2612
Other providers in Topsfield, MA
- Harmony Counseling, LLC
- Sarah Haugh
- Marie Wetmore Haupt
- Hillcrest Cove Farm
- Eden Alan Hutt
- James R. Collins, D.D.S.
- Carl E Johnson
- Robert E Jolley
- Lee Katz
- Molly Lambo
All providers in Topsfield, MA · Behavior Analyst in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2015. 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.