Active NPIIndividual providerSole proprietor

Ms. Jessica Coolidge, MSW

Social Worker, Clinical in Arlington, Massachusetts

NPI Number1215204797
Practice location
30 Mystic St, Arlington, MA 02474-1155
Fax
—
Last updated
November 28, 2011

Jessica Coolidge is a Social Worker, Clinical based in Arlington, MA. Jessica Coolidge practices in Arlington, MA and has the professional credentials of MSW. The NPI Number for Jessica Coolidge is 1215204797 and holds a License No. 217222 (MA). The current practice location address for Jessica Coolidge is 30 Mystic St, Arlington, MA 02474-1155 and can be reached out via phone at 781-641-8531.

Provider Profile Details

NPI Number
1215204797
Provider Name
Jessica Coolidge
Credential
MSW
Provider Entity Type
Individual
Gender
Female
Address
30 Mystic St, Arlington, MA 02474-1155
Phone Number
781-641-8531
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
November 28, 2011
Last Update Date
November 28, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
30 Mystic St
Arlington, MA 02474-1155
Zip
02474-1155
Phone Number
781-641-8531
Arlington, MA 02474Get directions →

Provider Business Mailing Address Details

Address
141 Willard St Apt 10
Quincy, MA 02169-1543
City
Quincy
State
MA
Zip
02169-1543
Phone Number
617-306-7318

License Information

License Number
217222
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 Ms. Jessica Coolidge, MSW?

The NPI number of Ms. Jessica Coolidge, MSW is 1215204797. It was assigned on November 28, 2011 and is currently active in the NPPES registry.

What is the specialty of Ms. Jessica Coolidge, MSW?

Ms. Jessica Coolidge, MSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 217222.

Where does Ms. Jessica Coolidge, MSW practice?

The practice location is 30 Mystic St, Arlington, MA 02474-1155. The office can be reached at 781-641-8531 (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 1215204797 directly on the NPPES registry website.

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