Livingstone, Jennifer L

Livingstone, Jennifer L is an individual health care provider with primary practice located at 360 Hospital Dr Ste 102 , Clyde NC 28721-0107. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Livingstone, Jennifer L can be contacted via phone (828) 456-9006.

Contact Information

Primary practice address
360 Hospital Dr Ste 102 Clyde NC 28721-0107
Phone: (828) 456-9006
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 11590 South Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X C007678 North Carolina

Profile Details

NPI number 1790911519
LBN Legal business name Livingstone, Jennifer L
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2009
Last updated Jan 22nd, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790911519 NPPES
South Carolina MEDICAID SW1323
South Carolina MEDICAID 1790911519

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