Active NPIIndividual providerSole proprietor

Jessica W Buckley, LICSW

Social Worker, Clinical in Charlestown, Massachusetts

NPI Number1194036970
Practice location
58 Sullivan St Unit 1, Charlestown, MA 02129-2433
Fax
781-388-1817
Last updated
December 10, 2019

Jessica Woods Buckley is a Social Worker, Clinical based in Charlestown, MA. Jessica Woods Buckley practices in Charlestown, MA and has the professional credentials of LICSW. The NPI Number for Jessica Woods Buckley is 1194036970 and holds a License No. 216371 (MA). The current practice location address for Jessica Woods Buckley is 58 Sullivan St Unit 1, Charlestown, MA 02129-2433 and can be reached out via phone at 978-621-9789 and via fax at 781-388-1817.

Provider Profile Details

NPI Number
1194036970
Provider Name
Jessica Woods Buckley
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
58 Sullivan St Unit 1, Charlestown, MA 02129-2433
Phone Number
978-621-9789
Fax Number
781-388-1817
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
June 28, 2010
Last Update Date
December 10, 2019
Certification Date
December 10, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
58 Sullivan St Unit 1
Charlestown, MA 02129-2433
Zip
02129-2433
Phone Number
978-621-9789
Fax Number
781-388-1817
Charlestown, MA 02129Get directions →

Provider Business Mailing Address Details

Address
58 Sullivan St Unit 1
Charlestown, MA 02129-2433
City
Charlestown
State
MA
Zip
02129-2433
Phone Number
978-621-9789

License Information

License Number
216371
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 Jessica W Buckley, LICSW?

The NPI number of Jessica W Buckley, LICSW is 1194036970. It was assigned on June 28, 2010 and is currently active in the NPPES registry.

What is the specialty of Jessica W Buckley, LICSW?

Jessica W Buckley, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 216371.

Where does Jessica W Buckley, LICSW practice?

The practice location is 58 Sullivan St Unit 1, Charlestown, MA 02129-2433. The office can be reached at 978-621-9789 (phone) or 781-388-1817 (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 1194036970 directly on the NPPES registry website.

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