Provider Demographics
NPI:1629553417
Name:STEINERT, JESSICA BLAIR (MSW)
Entity type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:BLAIR
Last Name:STEINERT
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:JESSICA
Other - Middle Name:BLAIR
Other - Last Name:AGUILERA-STEINERT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW, LICSW
Mailing Address - Street 1:85 E CONCORD ST FL 5
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-2335
Mailing Address - Country:US
Mailing Address - Phone:617-635-7925
Mailing Address - Fax:
Practice Address - Street 1:85 E CONCORD ST FL 5
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-2335
Practice Address - Country:US
Practice Address - Phone:617-635-7925
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-27
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1024376104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker