Jennifer A Flatley, LCSW
Social Worker, Clinical in Wall, NJ. Individual provider (NPI-1).
NPI number1982134656
StatusActive
Last updated in NPPESSep 9, 2019
Details
- NPI
- 1982134656
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jennifer A Flatley
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 15, 2017
- Last updated
- Sep 9, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 44SC05821400 | NJ | Yes |
| 104100000X | Social Worker | 44SL0600650 | NJ |
Practice location
1540 Rte 138Wall, NJ 07719-3763
Phone 732-261-0513
Mailing address
55 Anita DrJackson, NJ 08527-4902
Phone 732-261-0513
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