Provider Demographics
NPI:1184910895
Name:ALLAIN, JAIMIE (LICSW)
Entity type:Individual
Prefix:MRS
First Name:JAIMIE
Middle Name:
Last Name:ALLAIN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:JAIMIE
Other - Middle Name:
Other - Last Name:VENINI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:173 JAMESTOWN RD
Mailing Address - Street 2:
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-5955
Mailing Address - Country:US
Mailing Address - Phone:508-733-2980
Mailing Address - Fax:
Practice Address - Street 1:130 MAIN ST
Practice Address - Street 2:
Practice Address - City:NORTHBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01532-1984
Practice Address - Country:US
Practice Address - Phone:508-733-2980
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-21
Last Update Date:2018-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical