Active NPIIndividual providerSole proprietor

Jennifer M Baxendale, LICSW

Social Worker, Clinical in Pittsfield, Massachusetts

NPI Number1750697538
Practice location
1 Fenn St, Administrative Offices, Pittsfield, MA 01201-6278
Fax
413-448-2198
Last updated
November 21, 2018

Jennifer Macleod Baxendale is a Social Worker, Clinical based in Pittsfield, MA. Jennifer Macleod Baxendale practices in Pittsfield, MA and has the professional credentials of LICSW. The NPI Number for Jennifer Macleod Baxendale is 1750697538 and holds a License No. 121400 (MA). The current practice location address for Jennifer Macleod Baxendale is 1 Fenn St, Administrative Offices, Pittsfield, MA 01201-6278 and can be reached out via phone at 413-629-1262 and via fax at 413-448-2198.

Provider Profile Details

NPI Number
1750697538
Provider Name
Jennifer Macleod Baxendale
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
1 Fenn St, Administrative Offices, Pittsfield, MA 01201-6278
Phone Number
413-629-1262
Fax Number
413-448-2198
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Other Names
Jennifer Baxendale Lally (Former Name)
Provider Enumeration Date
August 31, 2010
Last Update Date
November 21, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Fenn St
Administrative Offices
Pittsfield, MA 01201-6278
Zip
01201-6278
Phone Number
413-629-1262
Fax Number
413-448-2198
Pittsfield, MA 01201Get directions →

Provider Business Mailing Address Details

Address
333 East Street
Brien Center
Pittsfield, MA 01201-6278
City
Pittsfield
State
MA
Zip
01201-6278
Phone Number
413-629-1086
Fax Number
413-448-2198

License Information

License Number
121400
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 Jennifer M Baxendale, LICSW?

The NPI number of Jennifer M Baxendale, LICSW is 1750697538. It was assigned on August 31, 2010 and is currently active in the NPPES registry.

What is the specialty of Jennifer M Baxendale, LICSW?

Jennifer M Baxendale, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 121400.

Where does Jennifer M Baxendale, LICSW practice?

The practice location is 1 Fenn St, Administrative Offices, Pittsfield, MA 01201-6278. The office can be reached at 413-629-1262 (phone) or 413-448-2198 (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 1750697538 directly on the NPPES registry website.

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