Active NPIIndividual providerSole proprietor

Michelle Jegorow, LICSW

Social Worker, Clinical in West Newbury, Massachusetts

NPI Number1053490367
Practice location
291 Main St, Suite 106, West Newbury, MA 01985-1445
Fax
978-363-2091
Last updated
July 8, 2007

Michelle Jegorow is a Social Worker, Clinical based in West Newbury, MA. Michelle Jegorow practices in West Newbury, MA and has the professional credentials of LICSW. The NPI Number for Michelle Jegorow is 1053490367 and holds a License No. 113575 (MA). The current practice location address for Michelle Jegorow is 291 Main St, Suite 106, West Newbury, MA 01985-1445 and can be reached out via phone at 978-363-2091 and via fax at 978-363-2091.

Provider Profile Details

NPI Number
1053490367
Provider Name
Michelle Jegorow
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
291 Main St, Suite 106, West Newbury, MA 01985-1445
Phone Number
978-363-2091
Fax Number
978-363-2091
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
November 6, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
291 Main St
Suite 106
West Newbury, MA 01985-1445
Zip
01985-1445
Phone Number
978-363-2091
Fax Number
978-363-2091
West Newbury, MA 01985Get directions →

Provider Business Mailing Address Details

Address
291 Main St
Suite 106
West Newbury, MA 01985-1445
City
West Newbury
State
MA
Zip
01985-1445
Phone Number
978-363-2091
Fax Number
978-363-2091

License Information

License Number
113575
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 Michelle Jegorow, LICSW?

The NPI number of Michelle Jegorow, LICSW is 1053490367. It was assigned on November 6, 2006 and is currently active in the NPPES registry.

What is the specialty of Michelle Jegorow, LICSW?

Michelle Jegorow, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 113575.

Where does Michelle Jegorow, LICSW practice?

The practice location is 291 Main St, Suite 106, West Newbury, MA 01985-1445. The office can be reached at 978-363-2091 (phone) or 978-363-2091 (fax).

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 1053490367 directly on the NPPES registry website.

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