Jacqueline Patrice Lord, LMSW is a
Social Worker - Clinical based in New York, New York. Jacqueline Patrice Lord is licensed to practice in New York (license number 117300) and her current practice location is
175 W 72nd St, New York, New York. She can be reached at her office (for appointments etc.) via phone at
(877) 909-3676.
NPI number for Jacqueline Patrice Lord is 1114633732 and her current mailing address is 159 Newell St Apt 4l, Brooklyn, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114633732.
Healthcare Provider's Profile
Full Name | Jacqueline Patrice Lord |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 175 W 72nd St, New York, 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: 1114633732
- Provider Enumeration Date: 01/26/2023
- Last Update Date: 01/26/2023
Medical Identifiers
Medical identifiers for Jacqueline Patrice Lord such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114633732 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 117300 (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. Jacqueline Patrice Lord 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 |
Jacqueline Patrice Lord, LMSW 159 Newell St Apt 4l, Brooklyn, NY 11222-3019 Ph: (203) 349-0039 | Jacqueline Patrice Lord, LMSW 175 W 72nd St, New York, NY 10023-3203 Ph: (877) 909-3676 |
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