Provider Demographics
NPI:1790526747
Name:JOLLEY, JANELLIA (MSW)
Entity type:Individual
Prefix:
First Name:JANELLIA
Middle Name:
Last Name:JOLLEY
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 1:48 NELSON DR APT 2
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:MA
Mailing Address - Zip Code:02368-4069
Mailing Address - Country:US
Mailing Address - Phone:781-308-7109
Mailing Address - Fax:
Practice Address - Street 1:37 WALNUT ST
Practice Address - Street 2:
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02481-2116
Practice Address - Country:US
Practice Address - Phone:508-687-5616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-04
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker