Individual provider · NPI-1

Jennifer Mw Brent, LMSW

Social Worker, Clinical · Islandia, NY

NPI number1235763715
StatusActive
Last updated in NPPESMay 26, 2022

Details

NPI
1235763715
Entity type
Individual (NPI-1)
Name
Jennifer Mw Brent
Credential
LMSW
Sex
Female
Sole proprietor
No
Enumeration date
Feb 24, 2020
Certification date
Sep 13, 2020
Last updated
May 26, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical090120NYYes

Practice location

1777 Veterans Memorial Hwy Ste 14
Islandia, NY 11749-1555

Phone 631-559-9626

Mailing address

1777 Veterans Memorial Hwy Ste 14
Islandia, NY 11749-1555

Phone 631-559-9629

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