Villa Alicea, Jessica

Villa Alicea, Jessica is an sole proprietor health care provider with primary practice located at 98-120 Queens Blvd , Rego Park NY 11374-3269. She recently has 2 registered licenses in different health care specialties including 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. Villa Alicea, Jessica can be contacted via phone (718) 504-9256.

Contact Information

Primary practice address
98-120 Queens Blvd Rego Park NY 11374-3269
Phone: (718) 504-9256
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 101703-1 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 095260 New York

Profile Details

NPI number 1518415496
LBN Legal business name Villa Alicea, Jessica
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2016
Last updated Jul 19th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518415496 NPPES
New York Other 1285628552 1285628552

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