Provider Demographics
NPI:1174557391
Name:ALMESTICA, JACQUELINE (MSW)
Entity type:Individual
Prefix:MS
First Name:JACQUELINE
Middle Name:
Last Name:ALMESTICA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 COVE WAY UNIT 709
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169-5857
Mailing Address - Country:US
Mailing Address - Phone:617-479-4018
Mailing Address - Fax:617-479-4018
Practice Address - Street 1:100 COVE WAY UNIT 709
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-5857
Practice Address - Country:US
Practice Address - Phone:617-479-4018
Practice Address - Fax:617-479-4018
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1021409104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker