Maccormack, Jill Minissa

Maccormack, Jill Minissa is an sole proprietor health care provider with primary practice located at 200 High Service Ave , North Providence RI 02904-5113. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Maccormack, Jill Minissa can be contacted via phone (401) 456-3000.

Contact Information

Primary practice address
200 High Service Ave North Providence RI 02904-5113
Phone: (401) 456-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1790086387
LBN Legal business name Maccormack, Jill Minissa
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 12th, 2010
Last updated Aug 27th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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