Active NPIIndividual providerSole proprietor

Jennifer P Faretra, LISCW

Social Worker, Clinical in Wilmington, Massachusetts

NPI Number1063164788
Practice location
11 Middlesex Ave Unit 8, Wilmington, MA 01887-2746
Fax
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Last updated
June 21, 2024

Jennifer Patricia Faretra is a Social Worker, Clinical based in Wilmington, MA. Jennifer Patricia Faretra practices in Wilmington, MA and has the professional credentials of LISCW. The NPI Number for Jennifer Patricia Faretra is 1063164788 and holds a License No. 123369 (MA). The current practice location address for Jennifer Patricia Faretra is 11 Middlesex Ave Unit 8, Wilmington, MA 01887-2746 and can be reached out via phone at 978-587-7651.

Provider Profile Details

NPI Number
1063164788
Provider Name
Jennifer Patricia Faretra
Credential
LISCW
Provider Entity Type
Individual
Gender
Female
Address
11 Middlesex Ave Unit 8, Wilmington, MA 01887-2746
Phone Number
978-587-7651
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
January 24, 2022
Last Update Date
June 21, 2024
Certification Date
June 21, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 Middlesex Ave Unit 8
Wilmington, MA 01887-2746
Zip
01887-2746
Phone Number
978-587-7651
Wilmington, MA 01887Get directions →

Provider Business Mailing Address Details

Address
11 Middlesex Ave Unit 8
Wilmington, MA 01887-2746
City
Wilmington
State
MA
Zip
01887-2746
Phone Number
978-587-7651

License Information

License Number
123369
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 Jennifer P Faretra, LISCW?

The NPI number of Jennifer P Faretra, LISCW is 1063164788. It was assigned on January 24, 2022 and is currently active in the NPPES registry.

What is the specialty of Jennifer P Faretra, LISCW?

Jennifer P Faretra, LISCW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 123369.

Where does Jennifer P Faretra, LISCW practice?

The practice location is 11 Middlesex Ave Unit 8, Wilmington, MA 01887-2746. The office can be reached at 978-587-7651 (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 1063164788 directly on the NPPES registry website.

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