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NPI Code Detail

MEDICARE: TERESA JANINA MEYER

MEDICARE:   TERESA JANINA MEYER
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
11041C0700XClinical Social WorkerLICSW1143308MA
2104100000XSocial Worker

General Provider Information

NPI Number : 1922625128
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERESA JANINA MEYER
Provider Business Mailing Address
First Line : 156 SHEARER ST
Second Line :
City : PALMER
State : MA
Zip : 01069-1426
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 800 DISTRICT AVE STE 520
Second Line :
City : BURLINGTON
State : MA
Zip : 01803-5060
Country : US
Telephone Number : 413-885-1336
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2020
Last Update Date : 04/07/2026

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Directions to “ TERESA JANINA MEYER ” Practice Location

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