Provider Demographics
NPI:1174576508
Name:LAFERRIERE, JENNIFER A (MSW)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:A
Last Name:LAFERRIERE
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 1:1 NEW HAMPSHIRE AVE STE 125
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-2907
Mailing Address - Country:US
Mailing Address - Phone:603-828-2991
Mailing Address - Fax:
Practice Address - Street 1:159 MAIN ST STE 100
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-2725
Practice Address - Country:US
Practice Address - Phone:603-760-1915
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-18
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH19811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical