Active NPIIndividual provider

Jaclyn Czerniak, LPC

Counselor, Professional in Suffield, Connecticut

NPI Number1487078762
Practice location
880 Burbank Ave, Suffield, CT 06078-1459
Fax
—
Last updated
March 24, 2022

Jaclyn Czerniak is a Counselor, Professional based in Suffield, CT. Jaclyn Czerniak practices in Suffield, CT and has the professional credentials of LPC. The NPI Number for Jaclyn Czerniak is 1487078762. The current practice location address for Jaclyn Czerniak is 880 Burbank Ave, Suffield, CT 06078-1459 and can be reached out via phone at 860-539-6736.

Provider Profile Details

NPI Number
1487078762
Provider Name
Jaclyn Czerniak
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
880 Burbank Ave, Suffield, CT 06078-1459
Phone Number
860-539-6736
Primary Taxonomy
Counselor, Professional · 101YP2500X
Sole Proprietor
No
Provider Enumeration Date
February 7, 2014
Last Update Date
March 24, 2022
Certification Date
March 24, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
880 Burbank Ave
Suffield, CT 06078-1459
Zip
06078-1459
Phone Number
860-539-6736
Suffield, CT 06078Get directions →

Provider Business Mailing Address Details

Address
Po Box 605
Suffield, CT 06078-0605
City
Suffield
State
CT
Zip
06078-0605

License Information

Taxonomy (1)
Social Worker, Clinical · 1041C0700X
Taxonomy (2)
Counselor, Professional · 101YP2500X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jaclyn Czerniak, LPC?

The NPI number of Jaclyn Czerniak, LPC is 1487078762. It was assigned on February 7, 2014 and is currently active in the NPPES registry.

What is the specialty of Jaclyn Czerniak, LPC?

Jaclyn Czerniak, LPC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X).

Where does Jaclyn Czerniak, LPC practice?

The practice location is 880 Burbank Ave, Suffield, CT 06078-1459. The office can be reached at 860-539-6736 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1487078762 directly on the NPPES registry website.

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