Active NPIIndividual provider

Jennifer F Breneisen, LICSW

Social Worker, Clinical in Acton, Massachusetts

NPI Number1801073770
Practice location
380 Massachusetts Avenue, Metrowest Behavioral Health Center, Acton, MA 01720
Fax
—
Last updated
September 13, 2011

Jennifer F Breneisen is a Social Worker, Clinical based in Acton, MA. Jennifer F Breneisen practices in Acton, MA and has the professional credentials of LICSW. The NPI Number for Jennifer F Breneisen is 1801073770 and holds a License No. 115770 (MA). The current practice location address for Jennifer F Breneisen is 380 Massachusetts Avenue, Metrowest Behavioral Health Center, Acton, MA 01720 and can be reached out via phone at 978-264-3500.

Provider Profile Details

NPI Number
1801073770
Provider Name
Jennifer F Breneisen
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
380 Massachusetts Avenue, Metrowest Behavioral Health Center, Acton, MA 01720
Phone Number
978-264-3500
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
January 23, 2008
Last Update Date
September 13, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
380 Massachusetts Avenue
Metrowest Behavioral Health Center
Acton, MA 01720
City
Acton
Zip
01720
Phone Number
978-264-3500
Acton, MA 01720Get directions →

Provider Business Mailing Address Details

Address
380 Massachusetts Avenue
Metrowest Behavioral Health Center
Acton, MA 01720
City
Acton
State
MA
Zip
01720
Phone Number
978-264-3500

License Information

License Number
115770
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 F Breneisen, LICSW?

The NPI number of Jennifer F Breneisen, LICSW is 1801073770. It was assigned on January 23, 2008 and is currently active in the NPPES registry.

What is the specialty of Jennifer F Breneisen, LICSW?

Jennifer F Breneisen, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 115770.

Where does Jennifer F Breneisen, LICSW practice?

The practice location is 380 Massachusetts Avenue, Metrowest Behavioral Health Center, Acton, MA 01720. The office can be reached at 978-264-3500 (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 1801073770 directly on the NPPES registry website.

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