Licata, Jayne N.

Licata, Jayne N. is an individual health care provider with primary practice located at 35 Beaverson Blvd Ste 1D , Brick NJ 08723. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Licata, Jayne N. can be contacted via phone (732) 920-7933.

Contact Information

Primary practice address
35 Beaverson Blvd Ste 1D Brick NJ 08723
Phone: (732) 920-7933
Fax: (732) 920-2966
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1588991988
LBN Legal business name Licata, Jayne N.
Credentials LCSW, LCADC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2009
Last updated Jul 25th, 2018 - about 6 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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