Active NPIIndividual providerSole proprietor

Jessica Beauchamp, LICSW

Social Worker, Clinical in Groton, Massachusetts

NPI Number1265879456
Practice location
28 Oxbow Ln, Groton, MA 01450-2202
Fax
—
Last updated
December 7, 2024

Jessica Beauchamp is a Social Worker, Clinical based in Groton, MA. Jessica Beauchamp practices in Groton, MA and has the professional credentials of LICSW. The NPI Number for Jessica Beauchamp is 1265879456 and holds a License No. 116285 (MA). The current practice location address for Jessica Beauchamp is 28 Oxbow Ln, Groton, MA 01450-2202 and can be reached out via phone at 978-228-3703.

Provider Profile Details

NPI Number
1265879456
Provider Name
Jessica Beauchamp
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
28 Oxbow Ln, Groton, MA 01450-2202
Phone Number
978-228-3703
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
May 28, 2013
Last Update Date
December 7, 2024
Certification Date
December 7, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
28 Oxbow Ln
Groton, MA 01450-2202
City
Groton
Zip
01450-2202
Phone Number
978-228-3703
Groton, MA 01450Get directions →

Provider Business Mailing Address Details

Address
9 Cornerstone Sq # B400-337
Westford, MA 01886-1473
City
Westford
State
MA
Zip
01886-1473
Phone Number
978-228-3703

License Information

License Number
116285
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 Beauchamp, LICSW?

The NPI number of Jessica Beauchamp, LICSW is 1265879456. It was assigned on May 28, 2013 and is currently active in the NPPES registry.

What is the specialty of Jessica Beauchamp, LICSW?

Jessica Beauchamp, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 116285.

Where does Jessica Beauchamp, LICSW practice?

The practice location is 28 Oxbow Ln, Groton, MA 01450-2202. The office can be reached at 978-228-3703 (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 1265879456 directly on the NPPES registry website.

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