MRS. JACQUELINE SUZANNE BRENNAN, LCSW - NPI NUMBER 1033460118

Summary

Provider Name: MRS. JACQUELINE SUZANNE BRENNAN, LCSW

NPI Number: 1033460118

Clasification: Social Worker (1041C0700X)

Specialization: Clinical

Address:
1435 LIBERTY ST
TRENTON, NJ
ZIP 08629

Phone Number: (609) 599-5433



Detailed Information

MRS. Jacqueline Suzanne Brennan, LCSW is a clinical social worker in Trenton, NJ. The provider is a social worker who holds a master�s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master�s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. The assigned NPI number for this provider is 1033460118 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

1435 LIBERTY ST
TRENTON, NJ
ZIP 08629-220
Phone: (609) 599-5433
Fax: (609) 475-4661

The enumeration date for this NPI number is 9/28/2012 and was last updated on 9/28/2012.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 1041C0700X Social Worker Clinical 44SC04590300 NJ Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 0169129 MEDICAID NJ

NPI Record

No. Field Name Field Value
1 NPI 1033460118
2 Entity Type Code 1
3 Provider Last Name Legal Name BRENNAN
4 Provider First Name JACQUELINE
5 Provider Middle Name SUZANNE
6 Provider Name Prefix Text MRS.
7 Provider Credential Text LCSW
8 Provider First Line Business Practice Location Address 1435 LIBERTY ST
9 Provider Business Practice Location Address City Name TRENTON
10 Provider Business Practice Location Address State Name NJ
11 Provider Business Practice Location Address Postal Code 086292220
12 Provider Business Practice Location Address Country Code If outside U S US
13 Provider Business Practice Location Address Telephone Number 6095995433
14 Provider Business Practice Location Address Fax Number 6094754661
15 Provider Enumeration Date 9/28/2012
16 Last Update Date 9/28/2012
17 Provider Gender Code F
18 Healthcare Provider Taxonomy Code 1 1041C0700X
19 Provider License Number 1 44SC04590300
20 Provider License Number State Code 1 NJ
21 Healthcare Provider Primary Taxonomy Switch 1 Y
22 Other Provider Identifier 1 0169129
23 Other Provider Identifier Type Code 1 05
24 Other Provider Identifier State 1 NJ
25 Is Sole Proprietor N

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This page was last updated on: 7/15/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.