Healthcare Provider Details

I. General information

NPI: 1528597077
Provider Name (Legal Business Name): JESSICA FERREIRA LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2017
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 TOWER OFFICE PARK
WOBURN MA
01801-2113
US

IV. Provider business mailing address

585 LEBANON ST
MELROSE MA
02176-3225
US

V. Phone/Fax

Practice location:
  • Phone: 339-329-5752
  • Fax:
Mailing address:
  • Phone: 781-979-3677
  • Fax: 781-979-6243

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number120015
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: