Chessen, Jackie Rose

Chessen, Jackie Rose is an individual health care provider with primary practice located at 8866 Myrtle Ave , Glendale NY 11385-7857. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Chessen, Jackie Rose can be contacted via phone (718) 850-0400.

Contact Information

Primary practice address
8866 Myrtle Ave Glendale NY 11385-7857
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 078647 New York
Behavioral Health & Social Service Providers / School 1041S0200X 1181877 New York

Profile Details

NPI number 1811298409
LBN Legal business name Chessen, Jackie Rose
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2010
Last updated Nov 12th, 2010 - about 14 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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