Navidad, Jennifer J

Navidad, Jennifer J is an individual health care provider with primary practice located at 25 Kessel Court Ste 200, Madison WI 53711. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Navidad, Jennifer J can be contacted via phone (608) 278-8200.

Contact Information

Primary practice address
25 Kessel Court Ste 200 Madison WI 53711
Fax: (608) 833-6932
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1999 Wisconsin

Profile Details

NPI number 1184692550
LBN Legal business name Navidad, Jennifer J
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Jul 8th, 2007 - about 18 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 1184692550 NPPES
Wisconsin MEDICAID 40936400

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