Rafferty, Jean Marie
Rafferty, Jean Marie is an sole proprietor health care provider with primary practice located at 88 Terry Rd Ste 7C , Smithtown NY 11787-3811. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Rafferty, Jean Marie can be contacted via phone (631) 291-1900.Contact Information
Primary practice address
88 Terry Rd Ste 7C
Smithtown NY 11787-3811
Phone: (631) 291-1900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | R057718-1 | New York |
Profile Details
| NPI number | 1366507840 |
|---|---|
| LBN Legal business name | Rafferty, Jean Marie |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 26th, 2006 |
| Last updated | Apr 6th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366507840 | NPPES |
| New York | MEDICAID | 02716892 |
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