Brennan, Jacqueline Suzanne

Brennan, Jacqueline Suzanne is an individual health care provider with primary practice located at 1435 Liberty St , Trenton NJ 08629-2220. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Brennan, Jacqueline Suzanne can be contacted via phone (609) 599-5433.

Contact Information

Primary practice address
1435 Liberty St Trenton NJ 08629-2220
Phone: (609) 599-5433
Fax: (609) 475-4661
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC04590300 New Jersey

Profile Details

NPI number 1033460118
LBN Legal business name Brennan, Jacqueline Suzanne
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2012
Last updated Sep 28th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033460118 NPPES
New Jersey MEDICAID 0169129

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