Provider Demographics
NPI:1316264013
Name:MORECRAFT, JESSICA LYN (MSW, LICSW)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:LYN
Last Name:MORECRAFT
Suffix:
Gender:
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:LYN
Other - Last Name:RICCIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:541 PLAIN ST
Mailing Address - Street 2:
Mailing Address - City:MARSHFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:02050-2752
Mailing Address - Country:US
Mailing Address - Phone:617-688-0039
Mailing Address - Fax:
Practice Address - Street 1:1501 N CAMPBELL AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85724-1305
Practice Address - Country:US
Practice Address - Phone:520-694-1255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-21
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical