Passero, Jaclyn
Passero, Jaclyn is an sole proprietor health care provider with primary practice located at 2190 Culver Rd , Rochester NY 14609-2746. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Passero, Jaclyn can be contacted via phone (585) 339-9150.Contact Information
Primary practice address
2190 Culver Rd
Rochester NY 14609-2746
Phone: (585) 339-9150
Fax: (585) 339-9150
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 023287 | New York |
Profile Details
| NPI number | 1710945803 |
|---|---|
| LBN Legal business name | Passero, Jaclyn |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 1st, 2006 |
| Last updated | Mar 18th, 2024 - about 8 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710945803 | NPPES |
| New York | Other | P010023278 | BLUE CROSS BLUE SHIELD |
| New York | Other | 102044FK | BLUE CROSS BLUE SHIELD |
| New York | Other | 7741364 | BLUE CROSS BLUE SHIELD |
| New York | Other | 1095227 | BLUE CROSS BLUE SHIELD |
| New York | Other | P010023278 | BLUE CROSS BLUE SHIELD |
| New York | Other | P010023278 | BLUE CROSS BLUE SHIELD |
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