Doctor Name: | MS. JENNIFER HUDSON GOSCINSKI |
NPI Number: | 1689850174 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LCSW |
License Number: | C005915 |
Business Practice Address: | 7531 S Virginia Dare Trl Suite 3a Nags Head, NC - 279599162 |
Business Phone Number: | 2524899127 |
Business Fax Number: | 2524803127 |
Mailing Address: | Po Box 268, KITTY HAWK |
State: | NC |
Postal Code: | 279490268 |
Phone Number: | 2524899127 |
Fax Number: | 2524803127 |
NPI Enumeration Date: | 01/14/2008 |
NPI Last Update Date: | 04/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | C005915 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |