Provider Demographics
NPI:1558174045
Name:MACNEILL, JENNIFER JEAN (LCSW)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:JEAN
Last Name:MACNEILL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:WOONSOCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02895-5422
Mailing Address - Country:US
Mailing Address - Phone:401-309-2877
Mailing Address - Fax:
Practice Address - Street 1:38 POND ST STE 101
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02038-3822
Practice Address - Country:US
Practice Address - Phone:508-528-6037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-29
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RICSW03918104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty