Active NPIIndividual provider

Jill M Defoe, LICSW

Counselor, Mental Health in Acton, Massachusetts

NPI Number1265532360
Practice location
101 Central St, Acton, MA 01720-2725
Fax
978-263-3946
Last updated
July 8, 2007

Jill Marie Defoe is a Counselor, Mental Health based in Acton, MA. Jill Marie Defoe practices in Acton, MA and has the professional credentials of LICSW. The NPI Number for Jill Marie Defoe is 1265532360 and holds a License No. 1026231 (MA). The current practice location address for Jill Marie Defoe is 101 Central St, Acton, MA 01720-2725 and can be reached out via phone at 978-263-6847 and via fax at 978-263-3946.

Provider Profile Details

NPI Number
1265532360
Provider Name
Jill Marie Defoe
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
101 Central St, Acton, MA 01720-2725
Phone Number
978-263-6847
Fax Number
978-263-3946
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
September 25, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
101 Central St
Acton, MA 01720-2725
City
Acton
Zip
01720-2725
Phone Number
978-263-6847
Fax Number
978-263-3946
Acton, MA 01720Get directions →

Provider Business Mailing Address Details

Address
101 Central St
Acton, MA 01720-2725
City
Acton
State
MA
Zip
01720-2725
Phone Number
978-263-6847
Fax Number
978-263-3946

License Information

License Number
1026231
License State
MA
Taxonomy
Counselor, Mental Health · 101YM0800X · 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 Jill M Defoe, LICSW?

The NPI number of Jill M Defoe, LICSW is 1265532360. It was assigned on September 25, 2006 and is currently active in the NPPES registry.

What is the specialty of Jill M Defoe, LICSW?

Jill M Defoe, LICSW is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number 1026231.

Where does Jill M Defoe, LICSW practice?

The practice location is 101 Central St, Acton, MA 01720-2725. The office can be reached at 978-263-6847 (phone) or 978-263-3946 (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 1265532360 directly on the NPPES registry website.

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