MEDICARE: MS. JAIME L EPSTEIN A.C.S.W., L.C.S.W.

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	101YM0800X	Mental Health Counselor	44SC01174700	NJ

General Provider Information

NPI Number	:	1710032529
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JAIME L EPSTEIN A.C.S.W., L.C.S.W.

Provider Business Mailing Address
First Line	:	113 MOUNT VERNON AVE
Second Line	:
City	:	NORTHFIELD
State	:	NJ
Zip	:	08225-2208
Country	:	US
Telephone Number	:	609-432-9761
Fax Number	:

Provider Business Practice Location Address
First Line	:	113 MOUNT VERNON AVE
Second Line	:
City	:	NORTHFIELD
State	:	NJ
Zip	:	08225-2208
Country	:	US
Telephone Number	:	609-432-9762
Fax Number	:	609-407-9168

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

Provider Enumeration Date	:	01/24/2007
Last Update Date	:	11/20/2018

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