| Doctor Name: | MRS. JENNIFER LONGO |
| NPI Number: | 1013378934 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 44SC05649700 |
| Business Practice Address: | 145 Vreeland Ave Nutley, NJ - 071101618 |
| Business Phone Number: | 9732351212 |
| Business Fax Number: | |
| Mailing Address: | 42 Sadler Rd, BLOOMFIELD |
| State: | NJ |
| Postal Code: | 070035319 |
| Phone Number: | 9738091727 |
| Fax Number: | |
| NPI Enumeration Date: | 03/20/2016 |
| NPI Last Update Date: | 03/20/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 44SC05649700 |
| 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 |