Doctor Name: | JENNIFER LYNN GRAZINA |
NPI Number: | 1265696587 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW |
License Number: | 072986 |
Business Practice Address: | 66 Newtown Ln East Hampton, NY - 119372440 |
Business Phone Number: | 6313243344 |
Business Fax Number: | |
Mailing Address: | 30 Harrys Ln, SAG HARBOR |
State: | NY |
Postal Code: | 119631509 |
Phone Number: | 6318993353 |
Fax Number: | |
NPI Enumeration Date: | 07/16/2008 |
NPI Last Update Date: | 07/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 072986 |
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 |