Provider Demographics
NPI:1558999029
Name:JEPSON, JOHN CHRISTIAN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JOHN
Middle Name:CHRISTIAN
Last Name:JEPSON
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 BREWER ST
Mailing Address - Street 2:
Mailing Address - City:JAMAICA PLAIN
Mailing Address - State:MA
Mailing Address - Zip Code:02130-4032
Mailing Address - Country:US
Mailing Address - Phone:508-221-5819
Mailing Address - Fax:
Practice Address - Street 1:9 BREWER ST
Practice Address - Street 2:
Practice Address - City:JAMAICA PLAIN
Practice Address - State:MA
Practice Address - Zip Code:02130-4032
Practice Address - Country:US
Practice Address - Phone:508-221-5819
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-31
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor