Jennifer Katz
Individual provider Active NPI Social Worker · Commack, NY
NPI 1386042786 · NPPES record last updated Dec 17, 2014
Key facts
- NPI
- 1386042786
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 0931191 (NY)
- Practice address
- 354 Townline Rd
Commack, NY 11725-1423 - Phone
- (631) 974-5808
- NPI assigned
- Dec 17, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0931191 | NY | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 0931191 | NY | Yes |
Addresses
Primary practice location
354 Townline Rd
Commack, NY 11725-1423
Mailing address
354 Townline Rd
Commack, NY 11725-1423
Other providers in Commack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.