Provider Demographics
NPI:1225477821
Name:CHMIELEWSKI, JESSICA ANN (MSW)
Entity Type:Individual
Prefix:MISS
First Name:JESSICA
Middle Name:ANN
Last Name:CHMIELEWSKI
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 SCOTTFIELD RD
Mailing Address - Street 2:34
Mailing Address - City:ALLSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02134-3739
Mailing Address - Country:US
Mailing Address - Phone:860-882-8524
Mailing Address - Fax:
Practice Address - Street 1:10 SCOTTFIELD RD
Practice Address - Street 2:34
Practice Address - City:ALLSTON
Practice Address - State:MA
Practice Address - Zip Code:02134-3739
Practice Address - Country:US
Practice Address - Phone:860-882-8524
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-18
Last Update Date:2013-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker