Longo, Jenni Rebecca

Longo, Jenni Rebecca is an sole proprietor health care provider with primary practice located at 163 N Sandusky St Ste 205 , Delaware OH 43015-1763. 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 / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Longo, Jenni Rebecca can be contacted via phone (614) 259-8737.

Contact Information

Primary practice address
163 N Sandusky St Ste 205 Delaware OH 43015-1763
Phone: (614) 259-8737
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 001203 Ohio
Behavioral Health & Social Service Providers / Clinical 1041C0700X S27811 Ohio
Behavioral Health & Social Service Providers / Clinical 1041C0700X I.2002089 Ohio

Profile Details

NPI number 1750832762
LBN Legal business name Longo, Jenni Rebecca
Credentials MSW, LISW, LCDCIII
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 14th, 2016
Last updated Sep 28th, 2021 - about 3 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 1750832762 NPPES
Ohio MEDICAID 0282079

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