Jennifer Michelle Marram Bognanno, LICSW is a
Social Worker - Clinical based in Brockton, Massachusetts. Jennifer Michelle Marram Bognanno is licensed to practice in Massachusetts (license number 216599) and her current practice location is
215 Main St Ste 210, Brockton, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(508) 897-8000.
NPI number for Jennifer Michelle Marram Bognanno is 1073819082 and her current mailing address is Po Box 207, Stoughton, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073819082.
Healthcare Provider's Profile
Full Name | Jennifer Michelle Marram Bognanno |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 215 Main St Ste 210, Brockton, Massachusetts |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1073819082
- Provider Enumeration Date: 02/08/2011
- Last Update Date: 04/09/2018
Medical Identifiers
Medical identifiers for Jennifer Michelle Marram Bognanno such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073819082 | NPI | - | NPPES |
117526 | Other | MA | COMMONWEALTH OF MASSACHUSETTS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 216599 (Massachusetts) | Secondary |
1041C0700X | Social Worker - Clinical | 216599 (Massachusetts) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Michelle Marram Bognanno is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jennifer Michelle Marram Bognanno, LICSW Po Box 207, Stoughton, MA 02072-0207 Ph: (781) 801-2809 | Jennifer Michelle Marram Bognanno, LICSW 215 Main St Ste 210, Brockton, MA 02301-4328 Ph: (508) 897-8000 |
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