Warren, Jacqueline Maria

Warren, Jacqueline Maria is an sole proprietor health care provider with primary practice located at 245 Tilley Pl , Sea Cliff NY 11579-1019. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Warren, Jacqueline Maria can be contacted via phone (516) 801-0703.

Contact Information

Primary practice address
245 Tilley Pl Sea Cliff NY 11579-1019
Phone: (516) 801-0703
Fax: (516) 801-0703
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 5263
Behavioral Health & Social Service Providers / Clinical 1041C0700X R053561 New York

Profile Details

NPI number 1437249455
LBN Legal business name Warren, Jacqueline Maria
Credentials LCSW, CASAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 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 1437249455 NPPES
New York Other 7483569 GHI PROVIDER NUMBER
New York Other 031764 GHI PROVIDER NUMBER

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