Davis, Brenda

Davis, Brenda is an sole proprietor health care provider with primary practice located at 221 Palisade Avenue , Jersey City NJ 07306. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Davis, Brenda can be contacted via phone (201) 656-3116.

Contact Information

Primary practice address
221 Palisade Avenue Jersey City NJ 07306
Phone: (201) 656-3116
Fax: (201) 656-9044
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 063228 New York

Profile Details

NPI number 1528275997
LBN Legal business name Davis, Brenda
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2007
Last updated Aug 13th, 2016 - about 10 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 1528275997 NPPES
New Jersey Other 1528275997 NPI ENUMERATOR

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