Doctor Name: | JENNIFER LYNN ORSOMARSO |
NPI Number: | 1215100243 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 073834-1 |
Business Practice Address: | 75-59 263rd Street Zucker Hillside Hospital Glen Oaks, NY - 11004 |
Business Phone Number: | 7184708540 |
Business Fax Number: | 7188312610 |
Mailing Address: | 75-59 263rd Street, Zucker Hillside Hospital GLEN OAKS |
State: | NY |
Postal Code: | 11004 |
Phone Number: | 7184708540 |
Fax Number: | 7188312610 |
NPI Enumeration Date: | 04/10/2008 |
NPI Last Update Date: | 04/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 073834-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |