Active NPIIndividual providerSole proprietor

Jennifer Dermarderosian, LICSW

Social Worker, Clinical in Lexington, Massachusetts

NPI Number1881722478
Practice location
4 Muzzey St, Lexington, MA 02421-5220
Fax
—
Last updated
July 8, 2007

Jennifer Dermarderosian is a Social Worker, Clinical based in Lexington, MA. Jennifer Dermarderosian practices in Lexington, MA and has the professional credentials of LICSW. The NPI Number for Jennifer Dermarderosian is 1881722478 and holds a License No. 1025741 (MA). The current practice location address for Jennifer Dermarderosian is 4 Muzzey St, Lexington, MA 02421-5220 and can be reached out via phone at 781-844-8624.

Provider Profile Details

NPI Number
1881722478
Provider Name
Jennifer Dermarderosian
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
4 Muzzey St, Lexington, MA 02421-5220
Phone Number
781-844-8624
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
March 2, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
4 Muzzey St
Lexington, MA 02421-5220
Zip
02421-5220
Phone Number
781-844-8624
Lexington, MA 02421Get directions →

Provider Business Mailing Address Details

Address
21 Gould RD
Bedford, MA 01730-1250
City
Bedford
State
MA
Zip
01730-1250
Phone Number
781-844-8624

License Information

License Number
1025741
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 Dermarderosian, LICSW?

The NPI number of Jennifer Dermarderosian, LICSW is 1881722478. It was assigned on March 2, 2007 and is currently active in the NPPES registry.

What is the specialty of Jennifer Dermarderosian, LICSW?

Jennifer Dermarderosian, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1025741.

Where does Jennifer Dermarderosian, LICSW practice?

The practice location is 4 Muzzey St, Lexington, MA 02421-5220. The office can be reached at 781-844-8624 (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 1881722478 directly on the NPPES registry website.

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