MEDICARE: MS. JACQUELYN M. TURPIN LICSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	1030346	MA

General Provider Information

NPI Number	:	1184804247
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JACQUELYN M. TURPIN LICSW

Provider Business Mailing Address
First Line	:	1330 BEACON ST STE 326
Second Line	:
City	:	BROOKLINE
State	:	MA
Zip	:	02446-3203
Country	:	US
Telephone Number	:	617-953-1854
Fax Number	:

Provider Business Practice Location Address
First Line	:	1330 BEACON ST STE 326
Second Line	:
City	:	BROOKLINE
State	:	MA
Zip	:	02446-3203
Country	:	US
Telephone Number	:	617-522-6388
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/06/2007
Last Update Date	:	12/13/2022

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