Active NPIIndividual providerSole proprietor

Jeff R Woodworth, LICSW

Social Worker, Clinical in Jamaica Plain, Massachusetts

NPI Number1104041714
Practice location
180 Morton St, Jamaica Plain, MA 02130-3735
Fax
—
Last updated
July 8, 2007

Jeff R Woodworth is a Social Worker, Clinical based in Jamaica Plain, MA. Jeff R Woodworth practices in Jamaica Plain, MA and has the professional credentials of LICSW. The NPI Number for Jeff R Woodworth is 1104041714 and holds a License No. 1031169 (MA). The current practice location address for Jeff R Woodworth is 180 Morton St, Jamaica Plain, MA 02130-3735 and can be reached out via phone at 617-626-9359.

Provider Profile Details

NPI Number
1104041714
Provider Name
Jeff R Woodworth
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
180 Morton St, Jamaica Plain, MA 02130-3735
Phone Number
617-626-9359
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
April 17, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
180 Morton St
Jamaica Plain, MA 02130-3735
Zip
02130-3735
Phone Number
617-626-9359
Jamaica Plain, MA 02130Get directions →

Provider Business Mailing Address Details

Address
28 Cedar Hill Dr
Westwood, MA 02090-1160
City
Westwood
State
MA
Zip
02090-1160
Phone Number
617-626-9359

License Information

License Number
1031169
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 Jeff R Woodworth, LICSW?

The NPI number of Jeff R Woodworth, LICSW is 1104041714. It was assigned on April 17, 2007 and is currently active in the NPPES registry.

What is the specialty of Jeff R Woodworth, LICSW?

Jeff R Woodworth, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1031169.

Where does Jeff R Woodworth, LICSW practice?

The practice location is 180 Morton St, Jamaica Plain, MA 02130-3735. The office can be reached at 617-626-9359 (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 1104041714 directly on the NPPES registry website.

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