Individual provider · NPI-1

Jacqueline Ansbrow, LCSW

Social Worker, Clinical · Eatontown, NJ

NPI number1609572262
StatusActive
Last updated in NPPESFeb 6, 2023

Details

NPI
1609572262
Entity type
Individual (NPI-1)
Name
Jacqueline Ansbrow
Credential
LCSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 6, 2023
Certification date
Feb 6, 2023
Last updated
Feb 6, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical44SC06165600NJYes

Practice location

27 Main St
Eatontown, NJ 07724-3498

Phone 585-576-3442

Mailing address

51 Michigan Ave
Port Monmouth, NJ 07758-1131

Phone 585-576-3442

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