Vanisa Marie Jenkins, LCSW is a 
Social Worker - Clinical based in Boston, Massachusetts. Vanisa Marie Jenkins is licensed to practice in Massachusetts (license number 224724) and her current practice location is 
55 Fruit St, Boston, Massachusetts. She can be reached at her office (for appointments etc.) via phone at 
(617) 980-9851.
NPI number for Vanisa Marie Jenkins is 1174963268 and her current mailing address is 55 Fruit St, Boston, Massachusetts. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174963268.
			
			
			
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Vanisa Marie Jenkins | 
|---|
| Gender | Female | 
|---|
| Speciality | Social Worker - Clinical | 
|---|
| Location | 55 Fruit St, Boston, Massachusetts | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1174963268
- Provider Enumeration Date: 07/03/2013
- Last Update Date: 02/26/2021
 
		 
		 
Medical Identifiers
		Medical identifiers for Vanisa Marie Jenkins such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1174963268 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary | 
| 1041C0700X | Social Worker - Clinical | 224724 (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. Vanisa Marie Jenkins 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 | 
|---|
		| Vanisa Marie Jenkins, LCSW 55 Fruit St,
 Boston, MA 02114-2696
 Ph: (617) 980-9851
 | Vanisa Marie Jenkins, LCSW 55 Fruit St,
 Boston, MA 02114-2621
 Ph: (617) 980-9851
 | 
		
		 
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