Active NPIIndividual providerSole proprietor

Jill M Maccormack, LICSW

Social Worker in North Providence, Rhode Island

NPI Number1790086387
Practice location
200 High Service Ave, North Providence, RI 02904-5113
Fax
—
Last updated
August 27, 2015

Jill Minissa Maccormack is a Social Worker based in North Providence, RI. Jill Minissa Maccormack practices in North Providence, RI and has the professional credentials of LICSW. The NPI Number for Jill Minissa Maccormack is 1790086387. The current practice location address for Jill Minissa Maccormack is 200 High Service Ave, North Providence, RI 02904-5113 and can be reached out via phone at 401-456-3000.

Provider Profile Details

NPI Number
1790086387
Provider Name
Jill Minissa Maccormack
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
200 High Service Ave, North Providence, RI 02904-5113
Phone Number
401-456-3000
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
Yes
Provider Enumeration Date
November 12, 2010
Last Update Date
August 27, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 High Service Ave
North Providence, RI 02904-5113
Zip
02904-5113
Phone Number
401-456-3000
North Providence, RI 02904Get directions →

Provider Business Mailing Address Details

Address
200 High Service Ave
North Providence, RI 02904-5113
City
North Providence
State
RI
Zip
02904-5113
Phone Number
401-456-3000

License Information

Taxonomy
Social Worker · 104100000X · 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 Jill M Maccormack, LICSW?

The NPI number of Jill M Maccormack, LICSW is 1790086387. It was assigned on November 12, 2010 and is currently active in the NPPES registry.

What is the specialty of Jill M Maccormack, LICSW?

Jill M Maccormack, LICSW is registered under the primary taxonomy Social Worker (code 104100000X).

Where does Jill M Maccormack, LICSW practice?

The practice location is 200 High Service Ave, North Providence, RI 02904-5113. The office can be reached at 401-456-3000 (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 1790086387 directly on the NPPES registry website.

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