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NPI Code Detail

MEDICARE: MS. JESSICA MCGINN LCSW

MEDICARE: MS. JESSICA MCGINN LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker096672NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508330374
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JESSICA MCGINN LCSW
Provider Business Mailing Address
First Line : 197 HALF HOLLOW RD
Second Line :
City : DIX HILLS
State : NY
Zip : 11746-5859
Country : US
Telephone Number : 631-370-1800
Fax Number : 631-370-1714
Provider Business Practice Location Address
First Line : 197 HALF HOLLOW RD
Second Line :
City : DIX HILLS
State : NY
Zip : 11746-5859
Country : US
Telephone Number : 631-370-1800
Fax Number : 631-370-1714
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2019
Last Update Date : 12/20/2023

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