Rotondi, Jeannette
Rotondi, Jeannette is an sole proprietor health care provider with primary practice located at 68 Bennetts Mills Rd , Jackson NJ 08527-4510. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Rotondi, Jeannette can be contacted via phone (732) 436-4013.Contact Information
Primary practice address
68 Bennetts Mills Rd
Jackson NJ 08527-4510
Phone: (732) 436-4013
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 44SL05395100 | New Jersey |
Profile Details
| NPI number | 1104983956 |
|---|---|
| LBN Legal business name | Rotondi, Jeannette |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 2nd, 2007 |
| Last updated | May 12th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104983956 | NPPES |
| New Jersey | MEDICAID | 0029807 |
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