Active NPIIndividual provider

Ms. Susan L Jimerson, LICSW

Counselor, Mental Health in South Yarmouth, Massachusetts

NPI Number1093001570
Practice location
50 Long Pond Dr, South Yarmouth, MA 02664-4180
Fax
—
Last updated
June 23, 2011

Susan L. Jimerson is a Counselor, Mental Health based in South Yarmouth, MA. Susan L. Jimerson practices in South Yarmouth, MA and has the professional credentials of LICSW. The NPI Number for Susan L. Jimerson is 1093001570 and holds a License No. 114821 (MA). The current practice location address for Susan L. Jimerson is 50 Long Pond Dr, South Yarmouth, MA 02664-4180 and can be reached out via phone at 508-760-1475.

Provider Profile Details

NPI Number
1093001570
Provider Name
Susan L. Jimerson
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
50 Long Pond Dr, South Yarmouth, MA 02664-4180
Phone Number
508-760-1475
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
June 23, 2011
Last Update Date
June 23, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
50 Long Pond Dr
South Yarmouth, MA 02664-4180
Zip
02664-4180
Phone Number
508-760-1475
South Yarmouth, MA 02664Get directions →

Provider Business Mailing Address Details

Address
50 Long Pond Dr
South Yarmouth, MA 02664-4180
City
South Yarmouth
State
MA
Zip
02664-4180
Phone Number
508-760-1475

License Information

License Number
114821
License State
MA
Taxonomy
Counselor, Mental Health · 101YM0800X · 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 Ms. Susan L Jimerson, LICSW?

The NPI number of Ms. Susan L Jimerson, LICSW is 1093001570. It was assigned on June 23, 2011 and is currently active in the NPPES registry.

What is the specialty of Ms. Susan L Jimerson, LICSW?

Ms. Susan L Jimerson, LICSW is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number 114821.

Where does Ms. Susan L Jimerson, LICSW practice?

The practice location is 50 Long Pond Dr, South Yarmouth, MA 02664-4180. The office can be reached at 508-760-1475 (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 1093001570 directly on the NPPES registry website.

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