JENNIFER KONINGISOR


Address: 63 Main St, Brockton, MA 02301-4042
Phone: 5085596699

JENNIFER KONINGISOR (NPI# 1588204259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588204259
Entity Type Individual
Full Name JENNIFER KONINGISOR
Practice Address 63 Main St
Brockton
MA 02301-4042
Practice Telephone 5085596699
Practice Fax Number 5085595073
Mailing Telephone 5085596699
Mailing Fax Number 5085595073
Enumeration Date 2020-01-10
Last Update Date 2020-01-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker 122489 MA Behavioral Health & Social Service Providers

Office Location

Street Address 63 MAIN ST
City BROCKTON
State MA
Zip Code 02301-4042

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982602223 Kathleen P Pringle Advanced Practice Midwife 63 Main St, Brockton, MA 02301-4042 2005-07-11
1639770548 Meredith Hansen Social Worker 63 Main St, Brockton, MA 02301-4042 2020-11-06
1699399824 Maya Don Chay Registered Nurse 63 Main St, Brockton, MA 02301-4042 2020-06-03
1679112163 Bianca St. Louis Nurse Practitioner 63 Main St, Brockton, MA 02301-4042 2019-12-31
1245877505 Sarah Beth Blodgett Social Worker 63 Main St, Brockton, MA 02301-4042 2019-12-05
1235780107 Chloe Martin Social Worker 63 Main St, Brockton, MA 02301-4042 2019-09-23
1417505967 Elizabeth Coley Social Worker 63 Main St, Brockton, MA 02301-4042 2019-08-28
1225683758 Rachel Revis Social Worker 63 Main St, Brockton, MA 02301-4042 2019-08-01
1376105130 Johanne Cazeau Nurse Practitioner 63 Main St, Brockton, MA 02301-4042 2019-07-02
1558923508 Olivia Trieber Social Worker 63 Main St, Brockton, MA 02301-4042 2019-06-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942807110 Jenny Vulpis Recreation Therapist 940 Belmont St (br 135), Brockton, MA 02301 2020-10-01
1205444924 Caroline Storey Counselor Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 2020-07-20
1013546852 Nuria Dos Santos Veiga Occupational Therapist 73 Denton St, Brockton, MA 02301 2020-04-03
1679113930 Laura Ann Brondyk II Counselor 10 Christys Dr, Brockton, MA 02301 2020-01-14
1437796521 Andrea Lopes Developmental Therapist 7 Goddard Road, Brockton, MA 02301 2019-12-08
1518420124 Diligencehealthcare Psychiatry & Neurology 30-40 Westpark Street, Brockton, MA 02301 2019-04-10
1124530373 Rachel Theys Behavioral Analyst 130 Liberty St Ste 13a, Brockton, MA 02301 2017-10-27
1689193369 Anderson D Delgado Behavior Technician 11 Packard Way, Brockton, MA 02301 2017-09-14
1811415326 Francesca Lavecchia Clinical Neuropsychologist Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 2017-09-05
1831615343 Donna Marie Dugan Counselor South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 2017-08-16
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Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467975896 Alexandra Kruk Social Worker 103 Commercial St Fl 1, Brockton, MA 02302-3101 2017-07-18
1063932663 Hadijat O Laiyemo Social Worker 1115 W Chestnut St Ste 10102301, Brockton, MA 02301-7501 2017-06-23
1396137717 Casey Augustine Social Worker 311 Linwood St, Brockton, MA 02301-5623 2015-02-22
1811307853 Margaret Courtney Eldoueihi Social Worker Family and Community Resources Inc, 18 Newton Street, Brockton, MA 02301 2014-04-29
1578801460 Kirk George Wilmot Social Worker 349 N Pearl St, Brockton, MA 02301-1163 2013-01-28
1912272550 Marie Carmen Jocelyn Social Worker 31 Silver Rd, Brockton, MA 02301-3239 2012-03-15
1235448762 Elizabeth Gayle Archambault Social Worker 940 Belmont St # 35c, Brockton, MA 02301-5596 2010-10-01
1801125117 Iris Magaly Nieves Social Worker 43 Battles Farm Dr, Brockton, MA 02301-2215 2009-12-15
1154655926 Catherine Monica Stewart Social Worker 10 Christy Dr, Brockton, MA 02301-1812 2009-09-28
1679698930 Alisha M Morrissey Social Worker 110 Mulberry St, Brockton, MA 02302-2066 2007-03-19
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Competitor

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City BROCKTON
Zip Code 02301

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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