Fornicola, Rachel Lynn

Fornicola, Rachel Lynn is an sole proprietor health care provider with primary practice located at 33 Community Dr , West Long Branch NJ 07764-1663. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fornicola, Rachel Lynn can be contacted via phone (732) 682-3057.

Contact Information

Primary practice address
33 Community Dr West Long Branch NJ 07764-1663
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC06118800 New Jersey

Profile Details

NPI number 1154972560
LBN Legal business name Fornicola, Rachel Lynn
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2019
Last updated Oct 17th, 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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