Jacqueline Lucille Renda in Port Jefferson - School
Jacqueline Lucille Renda - NPI 1700087434
Jacqueline Lucille Renda is a School in Port Jefferson, New York. Jacqueline Lucille Renda practices all healthcare services and medical treatments related to School. The NPI Number for Jacqueline Lucille Renda is 1700087434. The last update date is 2007-07-08.
Jacqueline Lucille Renda's current location address is 210 Emerson St, Port Jefferson, New York. You can contact this provider via phone number 6313313895. The mailing address for Jacqueline Lucille Renda is 210 Emerson St, Port Jefferson, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacqueline Lucille Renda |
|---|---|
| Address | 210 Emerson St, Port Jefferson, New York |
| Phone Number | 6313313895 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW-R |
NPI Number Detail
| NPI Number | 1700087434 |
|---|---|
| Provider Enumeration Date | 2007-05-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 210 Emerson St |
|---|---|
| City | Port Jefferson |
| State | New York (NY) |
| Post Code | 117771605 |
| Phone Number | 6313313895 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | School |
|---|---|
| Taxonomy | 1041S0200X |
| Licence No | R039200-1 |
|
Definition: A social worker who provides services and support to students in school settings. |
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What is the Jacqueline Lucille Renda's 1700087434?
The Jacqueline Lucille Renda's NPI (National Provider Identifier) Number is 1700087434. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jacqueline Lucille Renda located?
The Jacqueline Lucille Renda is located at 210 Emerson St, Port Jefferson, NY 117771605.
What is Jacqueline Lucille Renda's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jacqueline Lucille Renda is School, and the taxonomy classification code that categorizes this area of expertise is 1041S0200X.
When did Jacqueline Lucille Renda receive its 1700087434 assignment?
The Jacqueline Lucille Renda was assigned its 1700087434 on 2007-05-30, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Jacqueline Lucille Renda most recently updated or revised?
The information pertaining to Jacqueline Lucille Renda, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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