Active NPIIndividual providerSole proprietor

Jodi C Dwyer, MSW, LICSW

Social Worker, Clinical in Medford, Massachusetts

NPI Number1518273705
Practice location
84 High Street, Suite 8, Medford, MA 02155
Fax
—
Last updated
January 14, 2016

Jodi C Dwyer is a Social Worker, Clinical based in Medford, MA. Jodi C Dwyer practices in Medford, MA and has the professional credentials of MSW, LICSW. The NPI Number for Jodi C Dwyer is 1518273705 and holds a License No. 634745 (MA). The current practice location address for Jodi C Dwyer is 84 High Street, Suite 8, Medford, MA 02155 and can be reached out via phone at 781-350-4430.

Provider Profile Details

NPI Number
1518273705
Provider Name
Jodi C Dwyer
Credential
MSW, LICSW
Provider Entity Type
Individual
Gender
Female
Address
84 High Street, Suite 8, Medford, MA 02155
Phone Number
781-350-4430
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
August 25, 2010
Last Update Date
January 14, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
84 High Street
Suite 8
Medford, MA 02155
Zip
02155
Phone Number
781-350-4430
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
84 High Street
Suite 8
Medford, MA 02155
City
Medford
State
MA
Zip
02155
Phone Number
781-350-4430

License Information

License Number
634745
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 Jodi C Dwyer, MSW, LICSW?

The NPI number of Jodi C Dwyer, MSW, LICSW is 1518273705. It was assigned on August 25, 2010 and is currently active in the NPPES registry.

What is the specialty of Jodi C Dwyer, MSW, LICSW?

Jodi C Dwyer, MSW, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 634745.

Where does Jodi C Dwyer, MSW, LICSW practice?

The practice location is 84 High Street, Suite 8, Medford, MA 02155. The office can be reached at 781-350-4430 (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 1518273705 directly on the NPPES registry website.

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