Freer, Jennifer Smith

Freer, Jennifer Smith is an individual health care provider with primary practice located at 2025 E Aztec Ave , Gallup NM 87301-4803. 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. Freer, Jennifer Smith can be contacted via phone (505) 863-3828.

Contact Information

Primary practice address
2025 E Aztec Ave Gallup NM 87301-4803
Phone: (505) 863-3828
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X X-09056 New Mexico
Behavioral Health & Social Service Providers / Social Worker 104100000X 3992-C Arkansas

Profile Details

NPI number 1942236328
LBN Legal business name Freer, Jennifer Smith
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2006
Last updated Apr 17th, 2015 - about 11 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 1942236328 NPPES
Arkansas MEDICAID 1942236328

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