Jennifer Amendolari Brown, LCSW
Social Worker, Clinical in Gainesville, GA. Individual provider (NPI-1).
NPI number1760422166
StatusActive
Last updated in NPPESMay 24, 2021
Details
- NPI
- 1760422166
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Amendolari Brown
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 7, 2006
- Certification date
- May 24, 2021
- Last updated
- May 24, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | CSW004168 | GA | Yes |
| 1041C0700X | Social Worker, Clinical | Ro59786 | NY |
Practice location
2565 Thompson Bridge Rd Ste 111Gainesville, GA 30501-1723
Phone 917-494-1410
Mailing address
2565 Thompson Bridge Rd Ste 111Gainesville, GA 30501-1723
Phone 917-494-1410
Other practice locations
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