Individual provider · Type 1 NPI

Jennifer Michelle Marram Bognanno, LICSW

Clinical Social Worker · Brockton, MA

NPI number 1073819082 Active

Practice location

215 Main St Ste 210
Brockton, MA 02301-4328

Call (508) 897-8000 Map

Mailing address

PO Box 207
Stoughton, MA 02072-0207

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor	101YM0800X	216599 (MA)
Clinical Social Worker Primary	1041C0700X	216599 (MA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1073819082

Jennifer Michelle Marram Bognanno, LICSW's National Provider Identifier is 1073819082, issued on Feb 8, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brockton, MA. The record was last updated on Apr 9, 2018.