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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. JACQUELINE BANGO, LICSW

Active Sole Proprietor

MS. JACQUELINE BANGO, LICSW is a Clinical Social Worker healthcare provider located in BOSTON, Massachusetts. NPI 1003329095 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · BOSTON, MA

Registration Details

NPI Number
1003329095
Provider Type
Individual
Gender
Female
NPI Issued
Nov 13, 2017 (8.7285908695132 yrs)
Last Updated
Nov 13, 2017
Licenses
120046 (MA)
120046 (MA)
Sole Proprietor
Yes

Practice Information

Address
55 FRUIT STREET
FOUNDERS BUILDING SUITE 880
BOSTON, MA, 02114
Browse MA providers · Browse ZIP 02114
Phone
6176438281
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in BOSTON, MA

Name Credential NPI
MR. CHARLES G MARTEL L.I.C.S.W. 1881690014
KELLY FOURNIER LICSW 1750379780
MR. ADAM GLICK LICSW 1134110489
DR. AUDREY ADES LICSW 1144205675
MS. LYNDA BETH SHUSTER MSW, LICSW 1497728232
MS. MARY ANN SPARKS MSW 1053385740
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.