Brennan, Jacqueline

Brennan, Jacqueline is an sole proprietor health care provider with primary practice located at 2350 Waters Edge Dr Suite F, Bayside NY 11360-2232. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Brennan, Jacqueline can be contacted via phone (718) 767-6245.

Contact Information

Primary practice address
2350 Waters Edge Dr Suite F Bayside NY 11360-2232
Phone: (718) 767-6245
Fax: (718) 767-6245
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X PR0085981 New York

Profile Details

NPI number 1689741233
LBN Legal business name Brennan, Jacqueline
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689741233 NPPES
New York Other 132994 VALUE OPTIONS
New York Other 7402648 VALUE OPTIONS

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