German, Jacqueline

German, Jacqueline is an sole proprietor health care provider with primary practice located at 345 Old Town Rd , East Setauket NY 11733-3450. 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. German, Jacqueline can be contacted via phone (646) 470-4174.

Contact Information

Primary practice address
345 Old Town Rd East Setauket NY 11733-3450
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 093500 New York
Behavioral Health & Social Service Providers / Social Worker 104100000X 103299 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC06222500 New Jersey
Behavioral Health & Social Service Providers / Clinical 1041C0700X TPSW2215 Florida

Profile Details

NPI number 1952807109
LBN Legal business name German, Jacqueline
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2018
Last updated Sep 8th, 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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