Active NPIIndividual providerSole proprietor

Mr. Jerrold Breshin, LICSW

Social Worker, Clinical in Falmouth, Massachusetts

NPI Number1518985407
Practice location
342 Gifford St Unit C, Falmouth, MA 02540-5107
Fax
508-495-0559
Last updated
July 8, 2007

Jerrold Breshin is a Social Worker, Clinical based in Falmouth, MA. Jerrold Breshin practices in Falmouth, MA and has the professional credentials of LICSW. The NPI Number for Jerrold Breshin is 1518985407 and holds a License No. SW107504 (MA). The current practice location address for Jerrold Breshin is 342 Gifford St Unit C, Falmouth, MA 02540-5107 and can be reached out via phone at 508-495-0554 and via fax at 508-495-0559.

Provider Profile Details

NPI Number
1518985407
Provider Name
Jerrold Breshin
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
342 Gifford St Unit C, Falmouth, MA 02540-5107
Phone Number
508-495-0554
Fax Number
508-495-0559
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
July 18, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
342 Gifford St Unit C
Falmouth, MA 02540-5107
Zip
02540-5107
Phone Number
508-495-0554
Fax Number
508-495-0559
Falmouth, MA 02540Get directions →

Provider Business Mailing Address Details

Address
11 Teneycke Hill RD
N Falmouth, MA 02556-3118
City
N Falmouth
State
MA
Zip
02556-3118
Phone Number
508-495-0554
Fax Number
508-495-0559

License Information

License Number (1)
SW107504
License State (1)
MA
Taxonomy (1)
Social Worker, Clinical · 1041C0700X · Primary
License Number (2)
PR041299-1
License State (2)
NY
Taxonomy (2)
Social Worker, Clinical · 1041C0700X

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 Mr. Jerrold Breshin, LICSW?

The NPI number of Mr. Jerrold Breshin, LICSW is 1518985407. It was assigned on July 18, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Jerrold Breshin, LICSW?

Mr. Jerrold Breshin, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number SW107504.

Where does Mr. Jerrold Breshin, LICSW practice?

The practice location is 342 Gifford St Unit C, Falmouth, MA 02540-5107. The office can be reached at 508-495-0554 (phone) or 508-495-0559 (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 1518985407 directly on the NPPES registry website.

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