Active NPIIndividual providerSole proprietor

Sandra P Jaco O'Brien, LICSW

Social Worker, Clinical in Littleton, Massachusetts

NPI Number1124491089
Practice location
537 King St Fl 2, Littleton, MA 01460-1211
Fax
—
Last updated
November 1, 2015

Sandra Patricia Jaco O'Brien is a Social Worker, Clinical based in Littleton, MA. Sandra Patricia Jaco O'Brien practices in Littleton, MA and has the professional credentials of LICSW. The NPI Number for Sandra Patricia Jaco O'Brien is 1124491089 and holds a License No. 1027630 (MA). The current practice location address for Sandra Patricia Jaco O'Brien is 537 King St Fl 2, Littleton, MA 01460-1211 and can be reached out via phone at 978-649-6452.

Provider Profile Details

NPI Number
1124491089
Provider Name
Sandra Patricia Jaco O'Brien
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
537 King St Fl 2, Littleton, MA 01460-1211
Phone Number
978-649-6452
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Other Names
-- Sandra Patricia Jaco, LICSW (Professional Name)
Provider Enumeration Date
November 1, 2015
Last Update Date
November 1, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
537 King St Fl 2
Littleton, MA 01460-1211
Zip
01460-1211
Phone Number
978-649-6452
Littleton, MA 01460Get directions →

Provider Business Mailing Address Details

Address
Po Box 554
Tyngsboro, MA 01879-0554
City
Tyngsboro
State
MA
Zip
01879-0554

License Information

License Number
1027630
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 Sandra P Jaco O'Brien, LICSW?

The NPI number of Sandra P Jaco O'Brien, LICSW is 1124491089. It was assigned on November 1, 2015 and is currently active in the NPPES registry.

What is the specialty of Sandra P Jaco O'Brien, LICSW?

Sandra P Jaco O'Brien, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1027630.

Where does Sandra P Jaco O'Brien, LICSW practice?

The practice location is 537 King St Fl 2, Littleton, MA 01460-1211. The office can be reached at 978-649-6452 (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 1124491089 directly on the NPPES registry website.

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