Jake Donehey, LICSW
Social Worker, Clinical in Somerville, MA. Individual provider (NPI-1).
NPI number1154091015
StatusActive
Last updated in NPPESAug 11, 2025
Details
- NPI
- 1154091015
- Entity type
- Individual (NPI-1)
- Name
- Jake Donehey
- Credential
- LICSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 14, 2021
- Certification date
- Aug 11, 2025
- Last updated
- Aug 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LICSW1141446 | MA | Yes |
| 104100000X | Social Worker | – | – |
Practice location
259 Elm St Ste 201Somerville, MA 02144-2950
Phone 617-354-4450
Mailing address
259 Elm St Ste 201Somerville, MA 02144-2950
Phone 774-994-9274
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