Doctor Name: | JENNIFER WOODS-MESQUITA |
NPI Number: | 1043629553 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 006090 |
Business Practice Address: | 125 Greenlawn Ave Stratford, CT - 06614 |
Business Phone Number: | 2036718832 |
Business Fax Number: | |
Mailing Address: | 20 York Street, Yale New Haven Hospital NEW HAVEN |
State: | CT |
Postal Code: | 06510 |
Phone Number: | 2036883370 |
Fax Number: | |
NPI Enumeration Date: | 08/08/2014 |
NPI Last Update Date: | 08/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 006090 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |