Doctor Name: | MAUREEN JACKMAN |
NPI Number: | 1992076848 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 110910 |
Business Practice Address: | 18 Forrest Rd Topsfield, MA - 019831607 |
Business Phone Number: | 9785492612 |
Business Fax Number: | |
Mailing Address: | 18 Forrest Rd, TOPSFIELD |
State: | MA |
Postal Code: | 019831607 |
Phone Number: | 9785492612 |
Fax Number: | |
NPI Enumeration Date: | 01/24/2012 |
NPI Last Update Date: | 04/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 110910 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |