JILL MARIE DEFOE LICSW NPI 1265532360

NPI Information

NPI: 1265532360
Provider Name: JILL MARIE DEFOE, LICSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
101 CENTRAL ST
ACTON, MA
ZIP 01720
Phone: (978) 263-6847
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Jill Marie Defoe, LICSW is a mental health counselor in Acton, MA with 31 years of experience. Jill Marie Defoe, LICSW NPI is 1265532360. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

101 CENTRAL ST
ACTON, MA
ZIP 01720-725
Phone: (978) 263-6847
Fax: (978) 263-3946

The NPI 1265532360 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 9/25/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	1026231	MASSACHUSETTS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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