Davis, Brenda
Davis, Brenda is an sole proprietor health care provider with primary practice located at 221 Palisade Avenue , Jersey City NJ 07306. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Davis, Brenda can be contacted via phone (201) 656-3116.Contact Information
Primary practice address
221 Palisade Avenue
Jersey City NJ 07306
Phone: (201) 656-3116
Fax: (201) 656-9044
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 063228 | New York |
Profile Details
| NPI number | 1528275997 |
|---|---|
| LBN Legal business name | Davis, Brenda |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2007 |
| Last updated | Aug 13th, 2016 - about 8 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 | 1528275997 | NPPES |
| New Jersey | Other | 1528275997 | NPI ENUMERATOR |
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