Jayna Ellsworth, LICSW
Social Worker, Clinical in Everett, Massachusetts
1871614784- Practice location
- 173 Chelsea St, Everett, MA 02149-4632
- Phone
- 781-388-6277
- Fax
- —
- Last updated
- July 8, 2007
Jayna Ellsworth is a Social Worker, Clinical based in Everett, MA. Jayna Ellsworth practices in Everett, MA and has the professional credentials of LICSW. The NPI Number for Jayna Ellsworth is 1871614784 and holds a License No. 113962 (MA). The current practice location address for Jayna Ellsworth is 173 Chelsea St, Everett, MA 02149-4632 and can be reached out via phone at 781-388-6277.
Provider Profile Details
- NPI Number
- 1871614784
- Provider Name
- Jayna Ellsworth
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 173 Chelsea St, Everett, MA 02149-4632
- Phone Number
- 781-388-6277
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 2, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 173 Chelsea St
Everett, MA 02149-4632 - City
- Everett
- State
- Massachusetts
- Zip
- 02149-4632
- Phone Number
- 781-388-6277
Provider Business Mailing Address Details
- Address
- 37 Old Billerica RD
Bedford, MA 01730-1220 - City
- Bedford
- State
- MA
- Zip
- 01730-1220
- Phone Number
- 781-275-1713
License Information
- License Number
- 113962
- 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. | |||
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Frequently Asked Questions
What is the NPI number of Jayna Ellsworth, LICSW?
The NPI number of Jayna Ellsworth, LICSW is 1871614784. It was assigned on April 2, 2007 and is currently active in the NPPES registry.
What is the specialty of Jayna Ellsworth, LICSW?
Jayna Ellsworth, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 113962.
Where does Jayna Ellsworth, LICSW practice?
The practice location is 173 Chelsea St, Everett, MA 02149-4632. The office can be reached at 781-388-6277 (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 1871614784 directly on the NPPES registry website.