Mcmahon, Jennifer L

Mcmahon, Jennifer L is an individual health care provider with primary practice located at 635 Main St , Middletown CT 06457-2718. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Mcmahon, Jennifer L can be contacted via phone (860) 347-6971.

Contact Information

Primary practice address
635 Main St Middletown CT 06457-2718
Phone: (860) 347-6971
Fax: (860) 704-8034
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X ISW01628 Rhode Island
Behavioral Health & Social Service Providers / Social Worker 104100000X 007533 Connecticut

Profile Details

NPI number 1952454993
LBN Legal business name Mcmahon, Jennifer L
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Feb 9th, 2011 - about 14 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 1952454993 NPPES
Connecticut MEDICAID 00426338

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