Jaclynn Marrie Meindl, LCSW
Individual provider Active NPI Clinical Social Worker · Garrison, NY
NPI 1902514656 · NPPES record last updated Nov 11, 2022
Key facts
- NPI
- 1902514656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 093817-01 (NY)
- Practice address
- 79 St Basils Rd
Garrison, NY 10524-4127 - Phone
- (845) 554-3343
- Fax
- (914) 221-7750
- NPI assigned
- Nov 11, 2022
- 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 |
|---|---|---|---|
| 093817-01 | NY | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 093817-01 | NY | Yes |
Addresses
Primary practice location
79 St Basils Rd
Garrison, NY 10524-4127
Mailing address
79 St Basils Rd
Garrison, NY 10524-4127
Phone (845) 554-3343
Other providers in Garrison, NY
- Sonia Martinez
- Maria Matzkin
- John J McHugh
- Michael McKee
- Marietta McWade
- Melissa Meyers
- Patricia Ann Mondini
- Pamela Moran
- Nancy M O'Donnell
- Mary E. O'Hara
All providers in Garrison, 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 Nov 11, 2022. 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.