Jackeline Goncalves
Jackeline Goncalves is a Clinical Social Worker in Brockton, Massachusetts. Qualified in 2019, 7 years ago. Licensed in Massachusetts.
- Years since qualifying
- 7
- Licensed in
- MA
- In the registry since
- 2016
Practice location Address checks out
1 Pearl St Ste 1500Brockton, MA 02301-2872
Phone: (617) 789-2102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence LICSW128104 (MA) |
|---|
Record details
| NPI number | 1932652484 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 2, 2016 |
| Last updated in NPPES | August 5, 2026 |
| Certification date | August 5, 2026 |
| Mailing address | 960 Massachusetts Ave Ste 2, Boston, MA 02118-2690 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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