| Embodied Wellness Collaborative | |
|
14 Perkins Sq Apt 1 Jamaica Plain MA 02130-1719 | |
| (857) 217-2181 | |
| Not Available |
| Full Name | Embodied Wellness Collaborative |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 14 Perkins Sq Apt 1, Jamaica Plain, Massachusetts |
| Authorized Official Name and Position | Jessica Lyn Westenberg (OWNER/LICENSED THERAPIST) |
| Authorized Official Contact | 8572172181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Embodied Wellness Collaborative 14 Perkins Sq Apt 1 Jamaica Plain MA 02130-1719 Ph: (857) 217-2181 | Embodied Wellness Collaborative 14 Perkins Sq Apt 1 Jamaica Plain MA 02130-1719 Ph: (857) 217-2181 |
| NPI Number | 1396631651 |
|---|---|
| Provider Enumeration Date | 06/14/2025 |
| Last Update Date | 06/14/2025 |
| Certification Date | 06/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396631651 | NPI | - | NPPES |
| 110221484A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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