Jacklin, Theresa

Jacklin, Theresa is an individual health care provider with primary practice located at 8543 250Th St , Bellerose NY 11426-2110. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jacklin, Theresa can be contacted via phone (646) 201-1972.

Contact Information

Primary practice address
8543 250Th St Bellerose NY 11426-2110
Phone: (646) 201-1972
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 088299 New York

Profile Details

NPI number 1063820066
LBN Legal business name Jacklin, Theresa
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2014
Last updated Feb 6th, 2023 - about last year

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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