- Practice location
- 28 Railroad Ave, Warwick, NY 10990-1639
- Phone
- 845-986-3766
- Fax
- —
- Last updated
- June 10, 2008
Mary Ann Van Der Jagt is a Social Worker, Clinical based in Warwick, NY. Mary Ann Van Der Jagt practices in Warwick, NY and has the professional credentials of LCSW-R. The NPI Number for Mary Ann Van Der Jagt is 1528108651 and holds a License No. R-074382-1 (NY). The current practice location address for Mary Ann Van Der Jagt is 28 Railroad Ave, Warwick, NY 10990-1639 and can be reached out via phone at 845-986-3766.
Provider Profile Details
- NPI Number
- 1528108651
- Provider Name
- Mary Ann Van Der Jagt
- Credential
- LCSW-R
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 28 Railroad Ave, Warwick, NY 10990-1639
- Phone Number
- 845-986-3766
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 7, 2007
- Last Update Date
- June 10, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 28 Railroad Ave
Warwick, NY 10990-1639 - City
- Warwick
- State
- New York
- Zip
- 10990-1639
- Phone Number
- 845-986-3766
Provider Business Mailing Address Details
- Address
- 302 Brady RD
Sackets Harbor, NY 13685-9504 - City
- Sackets Harbor
- State
- NY
- Zip
- 13685-9504
- Phone Number
- 845-325-3960
License Information
- License Number
- R-074382-1
- License State
- NY
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Warwick, NY
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Frequently Asked Questions
What is the NPI number of Ms. Mary Ann Van Der Jagt, LCSW-R?
The NPI number of Ms. Mary Ann Van Der Jagt, LCSW-R is 1528108651. It was assigned on February 7, 2007 and is currently active in the NPPES registry.
What is the specialty of Ms. Mary Ann Van Der Jagt, LCSW-R?
Ms. Mary Ann Van Der Jagt, LCSW-R is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number R-074382-1.
Where does Ms. Mary Ann Van Der Jagt, LCSW-R practice?
The practice location is 28 Railroad Ave, Warwick, NY 10990-1639. The office can be reached at 845-986-3766 (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 1528108651 directly on the NPPES registry website.