Koegel, Jennifer Lynn

Koegel, Jennifer Lynn is an sole proprietor health care provider with primary practice located at 73 Wood Ridge St , Wood Ridge NJ 07075-2416. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Koegel, Jennifer Lynn can be contacted via phone (201) 704-5415.

Contact Information

Primary practice address
73 Wood Ridge St Wood Ridge NJ 07075-2416
Phone: (201) 704-5415
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC04569100 New Jersey

Profile Details

NPI number 1750889606
LBN Legal business name Koegel, Jennifer Lynn
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2018
Last updated Jun 16th, 2018 - about 8 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 1750889606 NPPES
New Jersey Other 44SC04569100 LCSW

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