Dimarco, Jaclyn Domenica

Dimarco, Jaclyn Domenica is an individual health care provider with primary practice located at 7925 Winchester Blvd , Queens Village NY 11427-2128. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Dimarco, Jaclyn Domenica can be contacted via phone (718) 264-4478.

Contact Information

Primary practice address
7925 Winchester Blvd Queens Village NY 11427-2128
Phone: (718) 264-4478
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 096024 New York
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Social Worker 104100000X 108513 New York

Profile Details

NPI number 1457919177
LBN Legal business name Dimarco, Jaclyn Domenica
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2019
Last updated Oct 5th, 2023 - about 3 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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