Provider Demographics
NPI:1841478021
Name:MARSZALEK, JENNIFER M (LICSW)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:M
Last Name:MARSZALEK
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 1:430 PLYMOUTH ST
Mailing Address - Street 2:
Mailing Address - City:HALIFAX
Mailing Address - State:MA
Mailing Address - Zip Code:02338-1342
Mailing Address - Country:US
Mailing Address - Phone:781-422-2900
Mailing Address - Fax:781-422-2905
Practice Address - Street 1:362 N BEDFORD ST
Practice Address - Street 2:
Practice Address - City:EAST BRIDGEWATER
Practice Address - State:MA
Practice Address - Zip Code:02333-1148
Practice Address - Country:US
Practice Address - Phone:508-350-2350
Practice Address - Fax:508-350-2318
Is Sole Proprietor?:No
Enumeration Date:2008-02-09
Last Update Date:2014-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10246701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical