Provider Demographics
NPI:1710311311
Name:FITTS, JAIME ANNE (LICSW)
Entity Type:Individual
Prefix:
First Name:JAIME
Middle Name:ANNE
Last Name:FITTS
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 1:5 LOMAS CIR
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01701-3949
Mailing Address - Country:US
Mailing Address - Phone:508-808-1997
Mailing Address - Fax:
Practice Address - Street 1:860 WORCESTER RD
Practice Address - Street 2:SUITE 102
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-5260
Practice Address - Country:US
Practice Address - Phone:508-808-1997
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-30
Last Update Date:2014-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1150761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical