Doctor Name: | MR. JEFFREY MARK BOSSIO |
NPI Number: | 1154496586 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LICSW |
License Number: | 113724 |
Business Practice Address: | 80 Washington St Ste C17 Norwell, MA - 020611729 |
Business Phone Number: | 7813474714 |
Business Fax Number: | |
Mailing Address: | 40 School St, KINGSTON |
State: | MA |
Postal Code: | 023641068 |
Phone Number: | 7815820887 |
Fax Number: | |
NPI Enumeration Date: | 11/21/2006 |
NPI Last Update Date: | 05/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 113724 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |