Byrnes, Jacqueline A
Byrnes, Jacqueline A is an sole proprietor health care provider with primary practice located at 982 Sw Bellevue Ave , Port Saint Lucie FL 34953-1254. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Byrnes, Jacqueline A can be contacted via phone (914) 403-2821.Contact Information
Primary practice address
982 Sw Bellevue Ave
Port Saint Lucie FL 34953-1254
Phone: (914) 403-2821
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 070478-1 | New York |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW9701 | Florida |
Profile Details
| NPI number | 1306903612 |
|---|---|
| LBN Legal business name | Byrnes, Jacqueline A |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2007 |
| Last updated | Dec 22nd, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306903612 | NPPES |
| Florida | MEDICAID | 003099200 |
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