MEDICARE: JENNIFER HALPER 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
1	104100000X	Social Worker	095945	NY
2	101YM0800X	Mental Health Counselor	087966	NY

General Provider Information

NPI Number	:	1528588969
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER HALPER LCSW

Provider Business Mailing Address
First Line	:	2360 SWEET HOME RD STE 3
Second Line	:
City	:	AMHERST
State	:	NY
Zip	:	14228-2331
Country	:	US
Telephone Number	:	716-559-1911
Fax Number	:	716-568-8229

Provider Business Practice Location Address
First Line	:	2360 SWEET HOME RD STE 3
Second Line	:
City	:	AMHERST
State	:	NY
Zip	:	14228-2331
Country	:	US
Telephone Number	:	718-275-6010
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2017
Last Update Date	:	04/26/2022

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