Active NPIIndividual provider

Jessica E Fortin, LICSW

Social Worker, Clinical in Bridgewater, Massachusetts

NPI Number1184107450
Practice location
1 Administration RD, Bridgewater, MA 02324-3230
Fax
—
Last updated
September 12, 2018

Jessica Elizabeth Fortin is a Social Worker, Clinical based in Bridgewater, MA. Jessica Elizabeth Fortin practices in Bridgewater, MA and has the professional credentials of LICSW. The NPI Number for Jessica Elizabeth Fortin is 1184107450 and holds a License No. 116833 (MA). The current practice location address for Jessica Elizabeth Fortin is 1 Administration RD, Bridgewater, MA 02324-3230 and can be reached out via phone at 508-614-5206.

Provider Profile Details

NPI Number
1184107450
Provider Name
Jessica Elizabeth Fortin
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
1 Administration RD, Bridgewater, MA 02324-3230
Phone Number
508-614-5206
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
September 12, 2018
Last Update Date
September 12, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Administration RD
Bridgewater, MA 02324-3230
Zip
02324-3230
Phone Number
508-614-5206
Bridgewater, MA 02324Get directions →

Provider Business Mailing Address Details

Address
1 Administration RD
Bridgewater, MA 02324-3230
City
Bridgewater
State
MA
Zip
02324-3230
Phone Number
508-614-5206

License Information

License Number
116833
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.

Other Social Worker, Clinical providers near Bridgewater, MA

View all Social Worker, Clinical providers in Bridgewater →

Frequently Asked Questions

What is the NPI number of Jessica E Fortin, LICSW?

The NPI number of Jessica E Fortin, LICSW is 1184107450. It was assigned on September 12, 2018 and is currently active in the NPPES registry.

What is the specialty of Jessica E Fortin, LICSW?

Jessica E Fortin, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 116833.

Where does Jessica E Fortin, LICSW practice?

The practice location is 1 Administration RD, Bridgewater, MA 02324-3230. The office can be reached at 508-614-5206 (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 1184107450 directly on the NPPES registry website.

Browse related providers