IndividualActive
Jacqueline Wibert
NPI 1093487480 · Clinical Social Worker · Maynard, MA
Provider details
- NPI number
- 1093487480
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 23419 (MD)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
141 Parker St Ste 306
Maynard, MA 01754-2180
Phone: (866) 991-2103
Approximate (ZIP-level) locationGet directions
Mailing address
141 Parker St Ste 306
Maynard, MA 01754-2180
Registry dates
- Enumerated
- 2021-10-04
- Last updated
- 2021-10-04
- Certified
- 2021-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.