| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JENNIFER L JOLLY | 1922269869 | 2023-05-07 |
Jennifer L Jolly is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1922269869. Registration indicates Jennifer L Jolly is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker, Behavioral Health & Social Service Providers) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Social Worker) (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, ) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Social Worker) (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, )
| Registration | PART-B:Y DME:Y HHA:N PMD:N |
| Entity Type | Individual |
| Provider Name | Ms. Jennifer L Jolly LICSW |
| Practice Office Address | 141 BAY VIEW AVE BRISTOL, RI US |
| Practice Office Telephone | 2392461189 |
| Mailing Address | 141 BAY VIEW AVE BRISTOL, RI 028093419 US |
| Business Telephone | 2392461189 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 200 Mill Rd Ste 120 | Fairhaven, MA 027195252 | 5089733200 / 5089733215 |
| 101 Page St | New Bedford, MA 027403464 | 5089735788 / 5089735599 |
| 371S MAIN ST 202A | FALL RIVER, MA 027215348 | 4013965971 / 4013965971 |
| Southcoast Health Epic Direct Address [] | [email protected] |
| Code | Practice | License No State |
|---|---|---|
| 104100000X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker Behavioral Health/Substance Abuse/Psychiatry Social Worker Behavioral Health & Social Service Providers | LCSW 215632
MA |
| 1041C0700X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: Clinical Behavioral Health/Substance Abuse/Psychiatry Social Worker Clinical Behavioral Health & Social Service Providers Social Worker | 116484
MA |
| 1041C0700X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: Clinical Behavioral Health/Substance Abuse/Psychiatry Social Worker Clinical Behavioral Health & Social Service Providers Social Worker | ISW02860
RI |