Jeneba Koroma, is a
Social Worker - Clinical based in Beverly, Massachusetts. Jeneba Koroma is licensed to practice in Massachusetts (license number LICSW128099) and her current practice location is
800 Cummings Ctr Ste 266t, Beverly, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(978) 998-2373.
NPI number for Jeneba Koroma is 1578178125 and her current mailing address is 800 Cummings Ctr Ste 266t, Beverly, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578178125.
Healthcare Provider's Profile
| Full Name | Jeneba Koroma |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 800 Cummings Ctr Ste 266t, Beverly, Massachusetts |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1578178125
- Provider Enumeration Date: 09/10/2020
- Last Update Date: 03/27/2025
Medical Identifiers
Medical identifiers for Jeneba Koroma such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1578178125 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | LICSW128099 (Massachusetts) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jeneba Koroma is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jeneba Koroma, 800 Cummings Ctr Ste 266t, Beverly, MA 01915-6172 Ph: (978) 998-2373 | Jeneba Koroma, 800 Cummings Ctr Ste 266t, Beverly, MA 01915-6172 Ph: (978) 998-2373 |
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