Kerenick, Jolie Glassman

Kerenick, Jolie Glassman is an individual health care provider with primary practice located at 1900 N West St Suite D, Jackson MS 39202-1033. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kerenick, Jolie Glassman can be contacted via phone (601) 709-1253.

Contact Information

Primary practice address
1900 N West St Suite D Jackson MS 39202-1033
Phone: (601) 709-1253
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C5873 Mississippi

Profile Details

NPI number 1255545398
LBN Legal business name Kerenick, Jolie Glassman
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2007
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1255545398 NPPES
Mississippi MEDICAID 08138320

Popular Providers