# LEMUEL SHATTUCK HOSP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033257522
- **Authorized official:** MS. JOHN CHRISTIAN JEPSON LCSW (CLINICAL SOCIAL WORKER)
- **Authorized official phone:** (617) 971-3147

## Contact information

- **Practice address:** 9 BREWER ST, JAMAICA PLAIN, MA 02130-4032
- **Practice address phone:** (617) 522-1710
- **Mailing address:** 9 BREWER ST, JAMAICA PLAIN, MA 02130-4032
- **Mailing address phone:** (617) 522-1710

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | 214205 | MA | Yes |

## Other

- **Enumeration date:** 02/05/2007
- **Last updated:** 08/22/2020