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

JENNIFER MICHELLE MARRAM BOGNANNO, LICSW

Active Sole Proprietor

JENNIFER MICHELLE MARRAM BOGNANNO, LICSW is a Clinical Social Worker healthcare provider located in BROCKTON, Massachusetts. NPI 1073819082 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · BROCKTON, MA

Registration Details

NPI Number
1073819082
Provider Type
Individual
Gender
Female
NPI Issued
Feb 8, 2011 (15.492606083653 yrs)
Last Updated
Apr 9, 2018
Licenses
216599 (MA)
216599 (MA)
Sole Proprietor
Yes

Practice Information

Address
215 MAIN ST STE 210
BROCKTON, MA, 023014328
Browse MA providers · Browse ZIP 02301
Phone
5088978000
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in BROCKTON, MA

Name Credential NPI
MR. PAUL MOITOSO MSW, BCD 1992779011
MS. RITA ANN ROONEY LICSW 1801848528
JENNIFER FINE LICSW 1104863497
RICHARD JON CURCURU LICSW 1508897513
MRS. JILL ANN MARCIELLO LICSW 1497786271
KATHERINE I LINSCOTT LICSW 1295767085
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.