Jacqueline Jones, RLCSW
Individual provider Active NPI Clinical Social Worker · Bayport, NY
NPI 1760610901 · NPPES record last updated Jun 25, 2009
Key facts
- NPI
- 1760610901
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- R049117-1 (NY)
- Practice address
- 71 Stephen Rd
Bayport, NY 11705-1231 - Phone
- (631) 512-1844
- NPI assigned
- Jun 25, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| R049117-1 | NY | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R049117-1 | NY | Yes |
Addresses
Primary practice location
71 Stephen Rd
Bayport, NY 11705-1231
Mailing address
71 Stephen Rd
Bayport, NY 11705-1231
Phone (631) 512-1844
Other providers in Bayport, NY
- Tatum Howley
- Annette Iannucci
- Fumiyo Iino
- Christine Jensen
- Jonathan Belmonte PT PLLC
- Lahari Kalidindi
- Eric Kane
- Kimberly Hession LCSW PC
- Elizabeth Ann Kirkland
- Catlyn Knauer
All providers in Bayport, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2009. 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.