Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer Michelle Marram Bognanno, LICSW

Individual provider Mental Health Counselor · NPI 1073819082

Jennifer Michelle Marram Bognanno, LICSW is a Mental Health Counselor in Brockton, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2011
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

215 Main St Ste 210
Brockton, MA 02301-4328
Phone: (508) 897-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 216599 (MA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 216599 (MA)

Record details

NPI number1073819082
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedFebruary 8, 2011
Last updated in NPPESApril 9, 2018

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