Active NPIIndividual provider

Jenna Dickerman

Social Worker, Clinical in Worcester, Massachusetts

NPI Number1043786965
Practice location
340 Main St Ste 818, Worcester, MA 01608-1604
Fax
—
Last updated
October 18, 2018

Jenna Dickerman is a Social Worker, Clinical based in Worcester, MA. Jenna Dickerman practices in Worcester, MA. The NPI Number for Jenna Dickerman is 1043786965 and holds a License No. 000224049 (MA). The current practice location address for Jenna Dickerman is 340 Main St Ste 818, Worcester, MA 01608-1604 and can be reached out via phone at 508-791-4976.

Provider Profile Details

NPI Number
1043786965
Provider Name
Jenna Dickerman
Provider Entity Type
Individual
Gender
Female
Address
340 Main St Ste 818, Worcester, MA 01608-1604
Phone Number
508-791-4976
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
October 18, 2018
Last Update Date
October 18, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
340 Main St Ste 818
Worcester, MA 01608-1604
Zip
01608-1604
Phone Number
508-791-4976
Worcester, MA 01608Get directions →

Provider Business Mailing Address Details

Address
442 Main St
Greenfield, MA 01301-3335
City
Greenfield
State
MA
Zip
01301-3335

License Information

License Number
000224049
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jenna Dickerman?

The NPI number of Jenna Dickerman is 1043786965. It was assigned on October 18, 2018 and is currently active in the NPPES registry.

What is the specialty of Jenna Dickerman?

Jenna Dickerman is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 000224049.

Where does Jenna Dickerman practice?

The practice location is 340 Main St Ste 818, Worcester, MA 01608-1604. The office can be reached at 508-791-4976 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043786965 directly on the NPPES registry website.

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