Venezia Phillips, Jo-Ann

Venezia Phillips, Jo-Ann is an individual health care provider with primary practice located at 165 Main St Unit 205 , Medway MA 02053-1584. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Venezia Phillips, Jo-Ann can be contacted via phone (978) 304-9283.

Contact Information

Primary practice address
165 Main St Unit 205 Medway MA 02053-1584
Phone: (978) 304-9283
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 116231 Massachusetts

Profile Details

NPI number 1568639375
LBN Legal business name Venezia Phillips, Jo-Ann
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2008
Last updated Sep 16th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1568639375 NPPES
Massachusetts Other 116231 MASSACHUSETTS STATE LICENSING BOARD OF SOCIAL WORKERS

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