Provider Demographics
NPI:1073287157
Name:MESKELL, JILLIAN LEE (LICSW)
Entity type:Individual
Prefix:
First Name:JILLIAN
Middle Name:LEE
Last Name:MESKELL
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:JILLIAN
Other - Middle Name:LEE
Other - Last Name:LOKERE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:288 LITTLETON RD STE 29
Mailing Address - Street 2:
Mailing Address - City:WESTFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01886-3527
Mailing Address - Country:US
Mailing Address - Phone:978-912-0877
Mailing Address - Fax:978-362-4316
Practice Address - Street 1:288 LITTLETON RD STE 29
Practice Address - Street 2:
Practice Address - City:WESTFORD
Practice Address - State:MA
Practice Address - Zip Code:01886-3527
Practice Address - Country:US
Practice Address - Phone:978-912-0877
Practice Address - Fax:978-362-4316
Is Sole Proprietor?:No
Enumeration Date:2021-08-03
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA11201561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical