Williams, Jacqueline Regina

Williams, Jacqueline Regina is an sole proprietor health care provider with primary practice located at 3600 Jerome Ave , Bronx NY 10467-1052. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Williams, Jacqueline Regina can be contacted via phone (718) 881-7600.

Contact Information

Primary practice address
3600 Jerome Ave Bronx NY 10467-1052
Phone: (718) 881-7600
Fax: (718) 575-8057
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 075602-1 New York

Profile Details

NPI number 1093074007
LBN Legal business name Williams, Jacqueline Regina
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2012
Last updated May 10th, 2012 - about 14 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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