Wood, Jennifer Lisa

Wood, Jennifer Lisa is an individual health care provider with primary practice located at 2233 Nesconset Hwy Suite 104, Lake Grove NY 11755-1000. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Wood, Jennifer Lisa can be contacted via phone (631) 737-5559.

Contact Information

Primary practice address
2233 Nesconset Hwy Suite 104 Lake Grove NY 11755-1000
Phone: (631) 737-5559
Fax: (631) 737-0001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X P71801 New York

Profile Details

NPI number 1851521371
LBN Legal business name Wood, Jennifer Lisa
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2009
Last updated May 9th, 2011 - about 13 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 1851521371 NPPES
New York Other P71801 LMSW LICENSE

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