Mark Jimerson, LICSW
Social Worker, Clinical in San Juan, Puerto Rico
1649317041- Practice location
- 954 Ave Ponce De Leon Ste 405C, San Juan, PR 00907
- Phone
- 413-636-5691
- Fax
- —
- Last updated
- August 13, 2018
Mark Jimerson is a Social Worker, Clinical based in San Juan, PR. Mark Jimerson practices in San Juan, PR and has the professional credentials of LICSW. The NPI Number for Mark Jimerson is 1649317041 and holds a License No. 1030600 (MA). The current practice location address for Mark Jimerson is 954 Ave Ponce De Leon Ste 405C, San Juan, PR 00907 and can be reached out via phone at 413-636-5691.
Provider Profile Details
- NPI Number
- 1649317041
- Provider Name
- Mark Jimerson
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 954 Ave Ponce De Leon Ste 405C, San Juan, PR 00907
- Phone Number
- 413-636-5691
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Other Names
- Mark Jimerson (Professional Name)
- Provider Enumeration Date
- February 1, 2007
- Last Update Date
- August 13, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 954 Ave Ponce De Leon Ste 405C
San Juan, PR 00907 - City
- San Juan
- State
- Puerto Rico
- Zip
- 00907
- Phone Number
- 413-636-5691
Provider Business Mailing Address Details
- Address
- Po Box 79872
Carolina, PR 00984-9872 - City
- Carolina
- State
- PR
- Zip
- 00984-9872
- Phone Number
- 413-636-5691
License Information
- License Number
- 1030600
- License State
- MA
- Taxonomy
- 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 San Juan, PR
View all Social Worker, Clinical providers in San Juan →- Adamari Gutierrez, MSWSocial Worker, Clinical · NPI 1962862185
- Aileen Perez, MSWSocial Worker, Clinical · NPI 1518527449
- Aisha N FigueroaSocial Worker, Clinical · NPI 1790483196
- Aixa V Perez Vazquez, MSWSocial Worker, Clinical · NPI 1528878451
- Alba J Pena Rivera, MSWSocial Worker, Clinical · NPI 1851190680
- Alejandra OnnaSocial Worker, Clinical · NPI 1447114848
Frequently Asked Questions
What is the NPI number of Mark Jimerson, LICSW?
The NPI number of Mark Jimerson, LICSW is 1649317041. It was assigned on February 1, 2007 and is currently active in the NPPES registry.
What is the specialty of Mark Jimerson, LICSW?
Mark Jimerson, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1030600.
Where does Mark Jimerson, LICSW practice?
The practice location is 954 Ave Ponce De Leon Ste 405C, San Juan, PR 00907. The office can be reached at 413-636-5691 (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 1649317041 directly on the NPPES registry website.