Jennifer E. Malcolm-brown LICSW
Clinical Social Worker in Worcester, MA(View on Map)
Full Name
Jennifer E Malcolm-brown LICSW
NPI Number
1629216429
NPI Type
Individual Provider
Gender
Female
Enumeration Date
02/02/2009
Specialties
(Taxonomies)Licenses
State
Massachusetts
Massachusetts
License Number
115842
215469
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 415348
55 LAKE AVE N
City
Boston
Worcester
State
MA
MA
Postal Code
02241-5348
01655-0002
Country
US
US
Telephone Number
N/A
(774) 441-8083
Identifiers
Identifier
215469
Identifier State
MA
Identifier Issuer
LCSW
Health Information Exchange
Endpoint Type
FHIR
Endpoint
https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Endpoint Description
Unknown
Use
Unknown
Content Type
Unknown
Affiliation
N
Endpoint Location
55 Lake Ave NWorcester, MA016550002US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/19/2021
Provider Address
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