Provider Demographics
NPI:1053896175
Name:BISHOP JARMAN, EDNA (MSW, LICSW)
Entity type:Individual
Prefix:
First Name:EDNA
Middle Name:
Last Name:BISHOP JARMAN
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 ALLEN LN
Mailing Address - Street 2:
Mailing Address - City:IPSWICH
Mailing Address - State:MA
Mailing Address - Zip Code:01938-1131
Mailing Address - Country:US
Mailing Address - Phone:978-380-8020
Mailing Address - Fax:
Practice Address - Street 1:193 LIONS MOUTH RD
Practice Address - Street 2:
Practice Address - City:AMESBURY
Practice Address - State:MA
Practice Address - Zip Code:01913-5400
Practice Address - Country:US
Practice Address - Phone:978-388-4407
Practice Address - Fax:978-388-4479
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-25
Last Update Date:2018-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA102258101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool