Provider Demographics
NPI:1174008890
Name:STEINBERG, JESSICA MIRIAM (LICSW)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:MIRIAM
Last Name:STEINBERG
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 VIOLETWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:MARLBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01752-6489
Mailing Address - Country:US
Mailing Address - Phone:781-929-9132
Mailing Address - Fax:
Practice Address - Street 1:51 VIOLETWOOD CIR
Practice Address - Street 2:
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752-6489
Practice Address - Country:US
Practice Address - Phone:781-929-9132
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-27
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1116011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical