Jennifer Marie Jacques, LCSW is a
Social Worker - Clinical based in Bloomingburg, New York. Jennifer Marie Jacques is licensed to practice in New York (license number 070432) and her current practice location is
531 Roosa Gap Rd, Bloomingburg, New York. She can be reached at her office (for appointments etc.) via phone at
(718) 652-0227.
NPI number for Jennifer Marie Jacques is 1134323116 and her current mailing address is 531 Roosa Gap Rd, Bloomingburg, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134323116.
Healthcare Provider's Profile
Full Name | Jennifer Marie Jacques |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 531 Roosa Gap Rd, Bloomingburg, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1134323116
- Provider Enumeration Date: 06/13/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Jennifer Marie Jacques such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134323116 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 070432 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Marie Jacques is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jennifer Marie Jacques, LCSW 531 Roosa Gap Rd, Bloomingburg, NY 12721-5124 Ph: (718) 652-0227 | Jennifer Marie Jacques, LCSW 531 Roosa Gap Rd, Bloomingburg, NY 12721-5124 Ph: (718) 652-0227 |
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