Jessica Prodis, LICSW
Social Worker, Clinical in Holyoke, MA. Individual provider (NPI-1).
NPI number1407166341
StatusActive
Last updated in NPPESJan 30, 2024
Details
- NPI
- 1407166341
- Entity type
- Individual (NPI-1)
- Name
- Jessica Prodis
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 13, 2010
- Certification date
- Dec 16, 2023
- Last updated
- Jan 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
30 Florence AveHolyoke, MA 01040-1813
Phone 413-687-8239
Mailing address
30 Florence AveHolyoke, MA 01040-1813
Phone 413-687-8239
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