MS. JACQUELINE MARIA WARREN LCSW CASAC NPI 1437249455

NPI Information

NPI: 1437249455
Provider Name: MS. JACQUELINE MARIA WARREN, LCSW, CASAC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
245 TILLEY PL
SEA CLIFF, NY
ZIP 11579
Phone: (516) 801-0703
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MS. Jacqueline Maria Warren, LCSW, CASAC is an addiction (substance use disorder) counselor in Sea Cliff, NY. MS. Jacqueline Maria Warren, LCSW, CASAC NPI is 1437249455. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

245 TILLEY PL
SEA CLIFF, NY
ZIP 11579-019
Phone: (516) 801-0703
Fax: (516) 801-0703

The enumeration date for this NPI number is 10/13/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. 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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	5263		Yes
2	1041C0700X	Social Worker	Clinical	R053561	NEW YORK	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	N4X882	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK	EMPIRE GROUP
2	031764	OTHER	NEW YORK	VALUE OPTIONS PROVIDER NO
3	7483569	OTHER	NEW YORK	GHI PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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