Provider Demographics
NPI:1891121471
Name:WEBB, JESSICA HAMMON (LICSW)
Entity Type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:HAMMON
Last Name:WEBB
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:
Other - Last Name:HAMMON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11 WINTHROP ST
Mailing Address - Street 2:
Mailing Address - City:ESSEX
Mailing Address - State:MA
Mailing Address - Zip Code:01929-1203
Mailing Address - Country:US
Mailing Address - Phone:978-239-7633
Mailing Address - Fax:
Practice Address - Street 1:205 WILLOW ST STE B3F
Practice Address - Street 2:
Practice Address - City:SOUTH HAMILTON
Practice Address - State:MA
Practice Address - Zip Code:01982-2253
Practice Address - Country:US
Practice Address - Phone:978-239-7633
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-16
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1186381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical