Healthcare Provider Details

I. General information

NPI: 1225489032
Provider Name (Legal Business Name): JENNIFER VANDERLINDEN LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2016
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 HAVERHILL RD STE 344
AMESBURY MA
01913-2134
US

IV. Provider business mailing address

230 SLADEN ST
DRACUT MA
01826-3612
US

V. Phone/Fax

Practice location:
  • Phone: 978-684-2251
  • Fax:
Mailing address:
  • Phone: 978-835-2350
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number118549
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: