Fitzpatrick, Jaclyn A.

Fitzpatrick, Jaclyn A. is an sole proprietor health care provider with primary practice located at 777 Seaview Ave , Staten Island NY 10305-3409. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Fitzpatrick, Jaclyn A. can be contacted via phone (718) 668-8154.

Contact Information

Primary practice address
777 Seaview Ave Staten Island NY 10305-3409
Phone: (718) 668-8154
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 086642 New York
Behavioral Health & Social Service Providers / Social Worker 104100000X 084804 New York

Profile Details

NPI number 1144565425
LBN Legal business name Fitzpatrick, Jaclyn A.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2012
Last updated Jul 26th, 2024 - about 2 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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