| Jennifer Colby Lcsw Pllc | |
|
41 Tamarack Rd Rye Brook NY 10573-2434 | |
| (203) 979-2057 | |
| Not Available |
| Full Name | Jennifer Colby Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 41 Tamarack Rd, Rye Brook, New York |
| Authorized Official Name and Position | Jennifer Colby (OWNER) |
| Authorized Official Contact | 2039792057 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Colby Lcsw Pllc 41 Tamarack Rd Rye Brook NY 10573-2434 Ph: (203) 979-2057 | Jennifer Colby Lcsw Pllc 41 Tamarack Rd Rye Brook NY 10573-2434 Ph: (203) 979-2057 |
| NPI Number | 1174109342 |
|---|---|
| Provider Enumeration Date | 03/19/2021 |
| Last Update Date | 03/19/2021 |
| Certification Date | 03/19/2021 |
| Medicare PECOS PAC ID | 4284041401 |
|---|---|
| Medicare Enrollment ID | O20210405002105 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174109342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jennifer C Colby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407364201 PECOS PAC ID: 5991066128 Enrollment ID: I20180302000289 |
| Provider Name | Sara F Klein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992248090 PECOS PAC ID: 8921479957 Enrollment ID: I20230130001250 |
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