Active NPIIndividual provider

Jennifer L Pestana, LICSW

Social Worker, Clinical in Tewksbury, Massachusetts

NPI Number1093212409
Practice location
Tewksbury Hospital, 365 East St., Tewksbury, MA 01876
Fax
—
Last updated
April 11, 2018

Jennifer Lynn Pestana is a Social Worker, Clinical based in Tewksbury, MA. Jennifer Lynn Pestana practices in Tewksbury, MA and has the professional credentials of LICSW. The NPI Number for Jennifer Lynn Pestana is 1093212409 and holds a License No. 111033 (MA). The current practice location address for Jennifer Lynn Pestana is Tewksbury Hospital, 365 East St., Tewksbury, MA 01876 and can be reached out via phone at 978-851-7321.

Provider Profile Details

NPI Number
1093212409
Provider Name
Jennifer Lynn Pestana
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
Tewksbury Hospital, 365 East St., Tewksbury, MA 01876
Phone Number
978-851-7321
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
April 11, 2018
Last Update Date
April 11, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
Tewksbury Hospital
365 East St.
Tewksbury, MA 01876
Zip
01876
Phone Number
978-851-7321
Tewksbury, MA 01876Get directions →

Provider Business Mailing Address Details

Address
687 Shawsheen St
Tewksbury, MA 01876-2336
City
Tewksbury
State
MA
Zip
01876-2336
Phone Number
978-851-2544

License Information

License Number
111033
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 L Pestana, LICSW?

The NPI number of Jennifer L Pestana, LICSW is 1093212409. It was assigned on April 11, 2018 and is currently active in the NPPES registry.

What is the specialty of Jennifer L Pestana, LICSW?

Jennifer L Pestana, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 111033.

Where does Jennifer L Pestana, LICSW practice?

The practice location is Tewksbury Hospital, 365 East St., Tewksbury, MA 01876. The office can be reached at 978-851-7321 (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 1093212409 directly on the NPPES registry website.

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