Healthcare Provider Details

I. General information

NPI: 1285115014
Provider Name (Legal Business Name): MRS. JACQUELINE PERELLA TOOMEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JACQUELINE CLAIRE PERELLA

II. Dates (important events)

Enumeration Date: 08/29/2018
Last Update Date: 07/18/2026
Certification Date: 07/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

98 COUNTY RD
READING MA
01867-3334
US

IV. Provider business mailing address

98 COUNTY RD
READING MA
01867-3334
US

V. Phone/Fax

Practice location:
  • Phone: 617-699-8987
  • Fax:
Mailing address:
  • Phone: 617-699-8987
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number111765
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: