Active NPIIndividual provider

Jacqueline E Tieso, LICSW

Social Worker, Clinical in Rockland, Massachusetts

NPI Number1255669347
Practice location
455 Webster St, Rockland, MA 02370-1250
Fax
—
Last updated
December 1, 2009

Jacqueline Elizabeth Tieso is a Social Worker, Clinical based in Rockland, MA. Jacqueline Elizabeth Tieso practices in Rockland, MA and has the professional credentials of LICSW. The NPI Number for Jacqueline Elizabeth Tieso is 1255669347 and holds a License No. 115117 (MA). The current practice location address for Jacqueline Elizabeth Tieso is 455 Webster St, Rockland, MA 02370-1250 and can be reached out via phone at 781-871-0531.

Provider Profile Details

NPI Number
1255669347
Provider Name
Jacqueline Elizabeth Tieso
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
455 Webster St, Rockland, MA 02370-1250
Phone Number
781-871-0531
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Other Names
-- Jacqueline Elizabeth Buckley (Former Name)
Provider Enumeration Date
December 1, 2009
Last Update Date
December 1, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
455 Webster St
Rockland, MA 02370-1250
Zip
02370-1250
Phone Number
781-871-0531
Rockland, MA 02370Get directions →

Provider Business Mailing Address Details

Address
455 Webster St
Rockland, MA 02370-1250
City
Rockland
State
MA
Zip
02370-1250
Phone Number
781-871-0531

License Information

License Number
115117
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 Jacqueline E Tieso, LICSW?

The NPI number of Jacqueline E Tieso, LICSW is 1255669347. It was assigned on December 1, 2009 and is currently active in the NPPES registry.

What is the specialty of Jacqueline E Tieso, LICSW?

Jacqueline E Tieso, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 115117.

Where does Jacqueline E Tieso, LICSW practice?

The practice location is 455 Webster St, Rockland, MA 02370-1250. The office can be reached at 781-871-0531 (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 1255669347 directly on the NPPES registry website.

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