Doctor Name: | JENNIFER A KING |
NPI Number: | 1013292838 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 44SC05265800 |
Business Practice Address: | 218 State Rt 17 N Suite 13 Rochelle Park, NJ - 076623399 |
Business Phone Number: | 2014886543 |
Business Fax Number: | 2014886535 |
Mailing Address: | 5607 Tudor Dr, POMPTON PLAINS |
State: | NJ |
Postal Code: | 074441131 |
Phone Number: | 9739077517 |
Fax Number: | |
NPI Enumeration Date: | 10/12/2011 |
NPI Last Update Date: | 10/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 44SC05265800 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |