Nieberg, Lori Jo

Nieberg, Lori Jo is an individual health care provider with primary practice located at 35 25 77Th St Unit A47, Jackson Heights NY 11372-4559. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Nieberg, Lori Jo can be contacted via phone (718) 805-9276.

Contact Information

Primary practice address
35 25 77Th St Unit A47 Jackson Heights NY 11372-4559
Phone: (718) 805-9276
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X R033467 New York

Profile Details

NPI number 1760567986
LBN Legal business name Nieberg, Lori Jo
Credentials LCSW R
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Jul 8th, 2007 - about 17 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 1760567986 NPPES
New York Other 269040 MHN
New York Other N333P MHN

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