Piester, Jennifer Lynn

Piester, Jennifer Lynn is an individual health care provider with primary practice located at 4602 3Rd St , Moline IL 61265-6106. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Piester, Jennifer Lynn can be contacted via phone (309) 779-2823.

Contact Information

Primary practice address
4602 3Rd St Moline IL 61265-6106
Phone: (309) 779-2823
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 370984175 Illinois
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149012500 Illinois

Profile Details

NPI number 1932326816
LBN Legal business name Piester, Jennifer Lynn
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2007
Last updated Jul 11th, 2023 - about 2 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 1932326816 NPPES
Illinois Other 370984175 BWAY INC FEIN

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