Debenedetto, Jillian

Debenedetto, Jillian is an sole proprietor health care provider with primary practice located at Fort Health Medical Group 613 Washing Blvd. #1297, Jersey City NJ 10314-1509. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Debenedetto, Jillian can be contacted via phone (201) 208-2616.

Contact Information

Primary practice address
Fort Health Medical Group 613 Washing Blvd. #1297 Jersey City NJ 10314-1509
Phone: (201) 208-2616
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC06143700 New Jersey

Profile Details

NPI number 1073861209
LBN Legal business name Debenedetto, Jillian
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2012
Last updated Dec 22nd, 2022 - 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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