Active NPIIndividual providerSole proprietor

Jessica Pagan, LICSW

Social Worker, Clinical in Stoughton, Massachusetts

NPI Number1174898837
Practice location
532 Page St, Stoughton, MA 02072-6003
Fax
617-553-9583
Last updated
June 16, 2020

Jessica Pagan is a Social Worker, Clinical based in Stoughton, MA. Jessica Pagan practices in Stoughton, MA and has the professional credentials of LICSW. The NPI Number for Jessica Pagan is 1174898837 and holds a License No. 121907 (MA). The current practice location address for Jessica Pagan is 532 Page St, Stoughton, MA 02072-6003 and can be reached out via phone at 617-334-3663 and via fax at 617-553-9583.

Provider Profile Details

NPI Number
1174898837
Provider Name
Jessica Pagan
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
532 Page St, Stoughton, MA 02072-6003
Phone Number
617-334-3663
Fax Number
617-553-9583
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
March 14, 2012
Last Update Date
June 16, 2020
Certification Date
June 16, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
532 Page St
Stoughton, MA 02072-6003
Zip
02072-6003
Phone Number
617-334-3663
Fax Number
617-553-9583
Stoughton, MA 02072Get directions →

Provider Business Mailing Address Details

Address
859 Willard St
Quincy, MA 02169-7482
City
Quincy
State
MA
Zip
02169-7482
Phone Number
617-847-1950
Fax Number
617-774-1490

License Information

Taxonomy (1)
Case Manager/Care Coordinator · 171M00000X
License Number (2)
121907
License State (2)
MA
Taxonomy (2)
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 Jessica Pagan, LICSW?

The NPI number of Jessica Pagan, LICSW is 1174898837. It was assigned on March 14, 2012 and is currently active in the NPPES registry.

What is the specialty of Jessica Pagan, LICSW?

Jessica Pagan, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 121907.

Where does Jessica Pagan, LICSW practice?

The practice location is 532 Page St, Stoughton, MA 02072-6003. The office can be reached at 617-334-3663 (phone) or 617-553-9583 (fax).

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 1174898837 directly on the NPPES registry website.

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