Maddox-Byrd, Jennifer Michelle

Maddox-Byrd, Jennifer Michelle is an individual health care provider with primary practice located at 1815 Sycamore Valley Dr Apt 103 , Reston VA 20190-4588. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Maddox-Byrd, Jennifer Michelle can be contacted via phone (646) 465-1982.

Contact Information

Primary practice address
1815 Sycamore Valley Dr Apt 103 Reston VA 20190-4588
Phone: (646) 465-1982
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 00107972
Behavioral Health & Social Service Providers / Social Worker 104100000X 92417 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 087515-01 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904016419 Virginia

Profile Details

NPI number 1770981185
LBN Legal business name Maddox-Byrd, Jennifer Michelle
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 17th, 2014
Last updated Dec 28th, 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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