Active NPIIndividual provider

Jennifer M Balestracci, LICSW, SAC

Counselor, School in Charlton, Massachusetts

NPI Number1205302742
Practice location
57 Old Muggett Hill RD, Charlton, MA 01507-1331
Fax
508-248-4747
Last updated
October 23, 2018

Jennifer Morway Balestracci is a Counselor, School based in Charlton, MA. Jennifer Morway Balestracci practices in Charlton, MA and has the professional credentials of LICSW, SAC. The NPI Number for Jennifer Morway Balestracci is 1205302742 and holds a License No. 1387037 (MA). The current practice location address for Jennifer Morway Balestracci is 57 Old Muggett Hill RD, Charlton, MA 01507-1331 and can be reached out via phone at 508-248-5971 and via fax at 508-248-4747.

Provider Profile Details

NPI Number
1205302742
Provider Name
Jennifer Morway Balestracci
Credential
LICSW, SAC
Provider Entity Type
Individual
Gender
Female
Address
57 Old Muggett Hill RD, Charlton, MA 01507-1331
Phone Number
508-248-5971
Fax Number
508-248-4747
Primary Taxonomy
Counselor, School · 101YS0200X
Sole Proprietor
No
Provider Enumeration Date
October 23, 2018
Last Update Date
October 23, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
57 Old Muggett Hill RD
Charlton, MA 01507-1331
Zip
01507-1331
Phone Number
508-248-5971
Fax Number
508-248-4747
Charlton, MA 01507Get directions →

Provider Business Mailing Address Details

Address
14 Tower Hill RD
Oxford, MA 01540-2613
City
Oxford
State
MA
Zip
01540-2613
Phone Number
508-248-5971
Fax Number
508-248-4747

License Information

License Number
1387037
License State
MA
Taxonomy
Counselor, School · 101YS0200X · 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 Jennifer M Balestracci, LICSW, SAC?

The NPI number of Jennifer M Balestracci, LICSW, SAC is 1205302742. It was assigned on October 23, 2018 and is currently active in the NPPES registry.

What is the specialty of Jennifer M Balestracci, LICSW, SAC?

Jennifer M Balestracci, LICSW, SAC is registered under the primary taxonomy Counselor, School (code 101YS0200X), licensed in MA under license number 1387037.

Where does Jennifer M Balestracci, LICSW, SAC practice?

The practice location is 57 Old Muggett Hill RD, Charlton, MA 01507-1331. The office can be reached at 508-248-5971 (phone) or 508-248-4747 (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 1205302742 directly on the NPPES registry website.

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