Active NPIIndividual provider

Jessica Mkpanam, MSW

Social Worker, Clinical in Fall River, Massachusetts

NPI Number1316484298
Practice location
21 Father Devalles Blvd Ste 15, Fall River, MA 02723-1519
Fax
508-567-3309
Last updated
May 13, 2024

Jessica Mkpanam is a Social Worker, Clinical based in Fall River, MA. Jessica Mkpanam practices in Fall River, MA and has the professional credentials of MSW. The NPI Number for Jessica Mkpanam is 1316484298 and holds a License No. 127977 (MA). The current practice location address for Jessica Mkpanam is 21 Father Devalles Blvd Ste 15, Fall River, MA 02723-1519 and can be reached out via phone at 978-408-6446 and via fax at 508-567-3309.

Provider Profile Details

NPI Number
1316484298
Provider Name
Jessica Mkpanam
Credential
MSW
Provider Entity Type
Individual
Gender
Female
Address
21 Father Devalles Blvd Ste 15, Fall River, MA 02723-1519
Phone Number
978-408-6446
Fax Number
508-567-3309
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
January 30, 2017
Last Update Date
May 13, 2024
Certification Date
May 13, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
21 Father Devalles Blvd Ste 15
Fall River, MA 02723-1519
Zip
02723-1519
Phone Number
978-408-6446
Fax Number
508-567-3309
Fall River, MA 02723Get directions →

Provider Business Mailing Address Details

Address
74 Pleasant St
Randolph, MA 02368-4138
City
Randolph
State
MA
Zip
02368-4138

License Information

License Number
127977
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 Mkpanam, MSW?

The NPI number of Jessica Mkpanam, MSW is 1316484298. It was assigned on January 30, 2017 and is currently active in the NPPES registry.

What is the specialty of Jessica Mkpanam, MSW?

Jessica Mkpanam, MSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 127977.

Where does Jessica Mkpanam, MSW practice?

The practice location is 21 Father Devalles Blvd Ste 15, Fall River, MA 02723-1519. The office can be reached at 978-408-6446 (phone) or 508-567-3309 (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 1316484298 directly on the NPPES registry website.

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