Active NPIIndividual provider

John Mimoso, LICSW

Social Worker, Clinical in Rockland, Massachusetts

NPI Number1295872224
Practice location
100 Ledgewood Pl, Suite 202, Rockland, MA 02370-1075
Fax
781-871-5973
Last updated
July 8, 2007

John Mimoso is a Social Worker, Clinical based in Rockland, MA. John Mimoso practices in Rockland, MA and has the professional credentials of LICSW. The NPI Number for John Mimoso is 1295872224 and holds a License No. 1024994 (MA). The current practice location address for John Mimoso is 100 Ledgewood Pl, Suite 202, Rockland, MA 02370-1075 and can be reached out via phone at 781-871-6550 and via fax at 781-871-5973.

Provider Profile Details

NPI Number
1295872224
Provider Name
John Mimoso
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
100 Ledgewood Pl, Suite 202, Rockland, MA 02370-1075
Phone Number
781-871-6550
Fax Number
781-871-5973
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
January 31, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Ledgewood Pl
Suite 202
Rockland, MA 02370-1075
Zip
02370-1075
Phone Number
781-871-6550
Fax Number
781-871-5973
Rockland, MA 02370Get directions →

Provider Business Mailing Address Details

Address
55 Garrison RD
New Bedford, MA 02745-4216
City
New Bedford
State
MA
Zip
02745-4216
Phone Number
508-995-5730

License Information

License Number
1024994
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 John Mimoso, LICSW?

The NPI number of John Mimoso, LICSW is 1295872224. It was assigned on January 31, 2007 and is currently active in the NPPES registry.

What is the specialty of John Mimoso, LICSW?

John Mimoso, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1024994.

Where does John Mimoso, LICSW practice?

The practice location is 100 Ledgewood Pl, Suite 202, Rockland, MA 02370-1075. The office can be reached at 781-871-6550 (phone) or 781-871-5973 (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 1295872224 directly on the NPPES registry website.

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