Search › Massachusetts › 1041C0700X
Jordan Wilson, LICSW
NPI 1346898111 · on the registry since 2019
Practice
- Address
- 1340 Boylston St
Boston, MA 02215 - Phone
- (617) 247-7555
- Fax
- (617) 262-0872
- Organisation at this address
- Fenway Health
Fenway Community Health Center, Inc
Fenway Community Health Center, Inc
Fenway Community Health Center, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 153
Additional practice sites
- 4909 E Mcdowell Rd, Phoenix, AZ
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
- Licence states on file
- MA, AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-12-12
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