MEDICARE: JACQUELINE G. PRATT

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	1041S0200X	School Social Worker
2	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1730906835
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACQUELINE G. PRATT

Provider Business Mailing Address
First Line	:	1134 MADISON AVE
Second Line	:
City	:	PROSPECT PARK
State	:	PA
Zip	:	19076-2027
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1134 MADISON AVE
Second Line	:
City	:	PROSPECT PARK
State	:	PA
Zip	:	19076-2027
Country	:	US
Telephone Number	:	484-433-3339
Fax Number	:

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

Provider Enumeration Date	:	09/20/2024
Last Update Date	:	09/20/2024

Similar Medicare Providers

1346406352 — MRS. BEVERLY E POWERFUL RN
Practice Location Address:

4 W PROSPECT AVE
MOUNT VERNON, NY
10550-2027

Practice Phone: 914-667-0300
Practice Fax: 914-667-1407

1922264928 — MS. MARGARET ANGELA EDWARD-WORRELL RN
Practice Location Address:

4 W PROSPECT AVE
MOUNT VERNON, NY
10550-2027

Practice Phone: 914-667-0300
Practice Fax: 914-667-1407

1205092780 — MRS. VENESIA FORBES-PHILLIPS RN
Practice Location Address:

4 W PROSPECT AVE
MOUNT VERNON, NY
10550-2027

Practice Phone: 914-667-0300
Practice Fax: 914-667-1407

1912237603 — MRS. NICOLE CLINTON LPN
Practice Location Address:

15 PROSPECT ST W
AMITYVILLE, NY
11701-2027

Practice Phone: 631-841-1499
Practice Fax:

1164021887 — PREFERRED CERTIFIED, LLC
Practice Location Address:

4 W PROSPECT AVE
MOUNT VERNON, NY
10550-2027

Practice Phone: 914-328-3733
Practice Fax:

1730185950 — DR. MUKESH A PATEL M.D
Practice Location Address:

1421 LINCOLN AVE
PROSPECT PARK, PA
19076-1107

Practice Phone: 610-532-5343
Practice Fax: 610-532-1302

Directions to “ JACQUELINE G. PRATT ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.