Rafferty, Jean Marie

Rafferty, Jean Marie is an sole proprietor health care provider with primary practice located at 88 Terry Rd Ste 7C , Smithtown NY 11787-3811. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Rafferty, Jean Marie can be contacted via phone (631) 291-1900.

Contact Information

Primary practice address
88 Terry Rd Ste 7C Smithtown NY 11787-3811
Phone: (631) 291-1900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X R057718-1 New York

Profile Details

NPI number 1366507840
LBN Legal business name Rafferty, Jean Marie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 26th, 2006
Last updated Apr 6th, 2022 - 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 1366507840 NPPES
New York MEDICAID 02716892

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