Jaclyn Mickiewicz, LICSW
Social Worker, Clinical in Shelburne Falls, Massachusetts
1295953461- Practice location
- 26 Severance St, Shelburne Falls, MA 01370-1217
- Phone
- 413-775-3432
- Fax
- —
- Last updated
- October 30, 2024
Jaclyn Mickiewicz is a Social Worker, Clinical based in Shelburne Falls, MA. Jaclyn Mickiewicz practices in Shelburne Falls, MA and has the professional credentials of LICSW. The NPI Number for Jaclyn Mickiewicz is 1295953461 and holds a License No. LICSW126010 (MA). The current practice location address for Jaclyn Mickiewicz is 26 Severance St, Shelburne Falls, MA 01370-1217 and can be reached out via phone at 413-775-3432.
Provider Profile Details
- NPI Number
- 1295953461
- Provider Name
- Jaclyn Mickiewicz
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 26 Severance St, Shelburne Falls, MA 01370-1217
- Phone Number
- 413-775-3432
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 23, 2007
- Last Update Date
- October 30, 2024
- Certification Date
- October 1, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 26 Severance St
Shelburne Falls, MA 01370-1217 - City
- Shelburne Falls
- State
- Massachusetts
- Zip
- 01370-1217
- Phone Number
- 413-775-3432
Provider Business Mailing Address Details
- Address
- 26 Severance St
Shelburne Falls, MA 01370-1217 - City
- Shelburne Falls
- State
- MA
- Zip
- 01370-1217
- Phone Number
- 413-775-3432
License Information
- Taxonomy (1)
- Counselor · 101Y00000X
- License Number (2)
- LICSW126010
- License State (2)
- MA
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Shelburne Falls, MA
View all Social Worker, Clinical providers in Shelburne Falls →- Jennifer R West, LICSWSocial Worker, Clinical · NPI 1548461072
- Karen M EarleSocial Worker, Clinical · NPI 1063703460
- Lydia Lively, LICSWSocial Worker, Clinical · NPI 1578052908
- Ms. Carmelina Lorusso, MSW, LICSWSocial Worker, Clinical · NPI 1457688707
- Ms. Jeanne M Lightfoot, LCSW LICSWSocial Worker, Clinical · NPI 1780782052
- Ms. Joan A Bianchi, LICSWSocial Worker, Clinical · NPI 1639384423
Frequently Asked Questions
What is the NPI number of Jaclyn Mickiewicz, LICSW?
The NPI number of Jaclyn Mickiewicz, LICSW is 1295953461. It was assigned on April 23, 2007 and is currently active in the NPPES registry.
What is the specialty of Jaclyn Mickiewicz, LICSW?
Jaclyn Mickiewicz, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number LICSW126010.
Where does Jaclyn Mickiewicz, LICSW practice?
The practice location is 26 Severance St, Shelburne Falls, MA 01370-1217. The office can be reached at 413-775-3432 (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 1295953461 directly on the NPPES registry website.