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General NPI Number Information
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NPI Number | 1326334251
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Entity Type | Individual
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Provider Name | JACLYN EINSTEIN LCSW, CASAC
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Gender | Female
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Dates
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Enumeration Date | 06/20/2011
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Last Update Date | 08/24/2022
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Provider Practice Location Address
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Address Line | 80 E 11TH ST SUITE 501
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City | NEW YORK
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State | NY
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Zip | 10003-6811
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Country | US
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Telephone | 646-434-8120
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Fax |
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Provider Business Mailing Address
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Address Line | 2800 ISLAND BLVD APT 2305
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City | AVENTURA
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State | FL
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Zip | 33160-5619
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Country | US
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Telephone | 305-502-1513
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 28843
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License Number State | NY
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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 | 0822531
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License Number State | NY
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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 | SW16329
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License Number State | FL
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