Cruz, Jessalyn Nicole

Cruz, Jessalyn Nicole is an individual health care provider with primary practice located at 30 East St , Middle Island NY 11953-1714. 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. Cruz, Jessalyn Nicole can be contacted via phone (631) 813-8327.

Contact Information

Primary practice address
30 East St Middle Island NY 11953-1714
Phone: (631) 813-8327
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 088320 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 092828-01 New York

Profile Details

NPI number 1447597810
LBN Legal business name Cruz, Jessalyn Nicole
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2013
Last updated Mar 21st, 2023 - about 2 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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