National Provider Identifier

Jessica Boise, MSW

Jessica Boise, MSW is listed in the NPPES registry with a primary specialty of Social Worker in Canandaigua, NY and a listed phone number of (585) 396-4358.

NPI 1821737628Canandaigua, NYSocial Worker

Profile Overview

NPI
1821737628
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
May 31, 2022
Last Updated
May 31, 2022

Practice Location

  • 3019 County Complex Dr
  • Canandaigua, NY 14424-9505

Phone: (585) 396-4358

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1821737628
Entity Type
Individual
Last Name
Boise
First Name
Jessica
Credential
MSW
Mailing Street Address
3019 County Complex Dr
Mailing City
Canandaigua
Mailing State
NY
Mailing ZIP Code
14424-9505
Mailing Country
US
Mailing Phone
(585) 396-4358
Mailing Fax
(585) 396-4551
Practice Street Address
3019 County Complex Dr
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424-9505
Practice Country
US
Practice Phone
(585) 396-4358
Enumeration Date
May 31, 2022
Last Updated
May 31, 2022
Sex
Female
Sole Proprietor
Yes
Certification Date
May 31, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)