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General NPI Number Information
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NPI Number | 1285344879
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Entity Type | Individual
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Provider Name | JONATHAN PREZANT LCSW
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Gender | Male
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Dates
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Enumeration Date | 12/05/2022
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Last Update Date | 01/24/2026
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Provider Practice Location Address
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Address Line | 237 MCGUINNESS BLVD APT 6C
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City | BROOKLYN
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State | NY
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Zip | 11222-8205
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Country | US
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Telephone | 201-835-9681
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Fax |
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Provider Business Mailing Address
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Address Line | 237 MCGUINNESS BLVD APT 6C
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City | BROOKLYN
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State | NY
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Zip | 11222-8205
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Country | US
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Telephone | 201-835-9681
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 5847
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW25631
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 101168
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC06579900
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License Number State | NJ
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