Organization
JODY JANSEN LCSW LLC
Active
Organization
JODY JANSEN LCSW LLC
Active
Other names
Jody Jansen LCSW
Organization subpart
No
Provider details
NPI number
Authorized official
JODY JANSEN LCSW (CLINICAL SOCIAL WORK)
(207) 251-9118
Entity
Organization
Contact information
Practice address
62 PORTLAND RD, SUITE 6, KENNEBUNK, ME 04043-6658
(207) 251-9118
(207) 517-6241
Mailing address
370 RICHARDS AVE, PORTSMOUTH, NH 03801-5276
(207) 251-9118
(207) 517-6241
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC5633
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003644
MEDICARE
ME
Enumeration date
11/13/2014
Last updated
12/01/2016
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