Search › Massachusetts › 1041C0700X
Jennifer Bognanno, LICSW
NPI 1073819082 · on the registry since 2011 · sole proprietor
Practice
- Address
- 215 Main St Ste 210
Brockton, MA 02301 - Phone
- (508) 897-8000
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YM0800X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-04-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts