O'Connor, Jaclyn F
O'Connor, Jaclyn F is an sole proprietor health care provider with primary practice located at 59 Nesconset Hwy , Port Jefferson Station NY 11776-2628. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. O'Connor, Jaclyn F can be contacted via phone (516) 218-1336.Contact Information
Primary practice address
59 Nesconset Hwy
Port Jefferson Station NY 11776-2628
Phone: (516) 218-1336
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 092744 | New York |
Profile Details
| NPI number | 1205474764 |
|---|---|
| LBN Legal business name | O'Connor, Jaclyn F |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 16th, 2019 |
| Last updated | Aug 27th, 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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