Jacqueline Jaffe O'Duor, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW017676 Issued in PA

Practice address

2305 Fairmount Ave
Philadelphia, PA 19130-2515

Phone

(267) 329-9393

NPI assigned

Aug 28, 2012

Last updated

Mar 17, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: jacquelineoduor@nncc.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jacqueline Jaffe O'Duor, LLC

  • Social Worker
  • Philadelphia, PA
  • NPI 1639532237
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458172800000",
    "number": "1790033520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5109 KINGSESSING AVE",
            "address_2": "APT 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191434327",
            "telephone_number": "267-329-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 FAIRMOUNT AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191302515",
            "telephone_number": "267-329-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DUOR",
        "first_name": "JACQUELINE",
        "middle_name": "JAFFE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-28",
        "last_updated": "2016-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren J O'Donnell, OT
• Roisin A O'Donnell, M.D.
• William John O'Donnell, PSY.D.
• William T. O'Donnell, MD PHD
• Liza O'Dowd, M.D.
• Katherine O'Dwyer
• Peter O'Dwyer, MD
• Amanda Jean Bernier O'Halloran, M.D.
• Aimee Marissa O'Hara, OTR
• Brian J. O'Hara, M.D.

• Clinical Social Worker in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.