| Organization Name: | JAMIE KLINTBERG, LCSW, LLC |
| NPI Number: | 1568873180 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMIE KLINTBERG (LICENSED CLINICAL SOCIAL WORKER) |
| Mailing Address: | 13 Arcadia Rd Ste 17 Old Greenwich |
| State: | CT US |
| Postal Code: | 068701742 |
| Phone Number: | 2036372062 |
| Fax Number: | |
| NPI Enumeration Date: | 05/16/2014 |
| NPI Last Update Date: | 05/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |