Provider Demographics
NPI:1285115014
Name:TOOMEY, JACQUELINE PERELLA
Entity type:Individual
Prefix:MRS
First Name:JACQUELINE
Middle Name:PERELLA
Last Name:TOOMEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JACQUELINE
Other - Middle Name:CLAIRE
Other - Last Name:PERELLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:98 COUNTY RD
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:MA
Mailing Address - Zip Code:01867-3334
Mailing Address - Country:US
Mailing Address - Phone:617-699-8987
Mailing Address - Fax:
Practice Address - Street 1:18 FRANCES ST
Practice Address - Street 2:
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-3006
Practice Address - Country:US
Practice Address - Phone:781-994-3807
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-29
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA111765104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker