Active NPIIndividual providerSole proprietor

Jeannine M Coyne

Social Worker, Clinical in Medford, New Jersey

NPI Number1528141744
Practice location
106 Park CT W, Medford, NJ 08055-8232
Fax
856-983-1398
Last updated
July 8, 2007

Jeannine M Coyne is a Social Worker, Clinical based in Medford, NJ. Jeannine M Coyne practices in Medford, NJ. The NPI Number for Jeannine M Coyne is 1528141744 and holds a License No. 44SC00037400 (NJ). The current practice location address for Jeannine M Coyne is 106 Park CT W, Medford, NJ 08055-8232 and can be reached out via phone at 856-596-5399 and via fax at 856-983-1398.

Provider Profile Details

NPI Number
1528141744
Provider Name
Jeannine M Coyne
Provider Entity Type
Individual
Gender
Female
Address
106 Park CT W, Medford, NJ 08055-8232
Phone Number
856-596-5399
Fax Number
856-983-1398
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
October 23, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
106 Park CT W
Medford, NJ 08055-8232
Zip
08055-8232
Phone Number
856-596-5399
Fax Number
856-983-1398
Medford, NJ 08055Get directions →

Provider Business Mailing Address Details

Address
106 Park CT W
Medford, NJ 08055-8232
City
Medford
State
NJ
Zip
08055-8232
Phone Number
856-596-5399
Fax Number
856-983-1398

License Information

License Number (1)
44SC00037400
License State (1)
NJ
Taxonomy (1)
Social Worker, Clinical · 1041C0700X · Primary
License Number (2)
CW014176
License State (2)
PA
Taxonomy (2)
Social Worker, Clinical · 1041C0700X

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 Jeannine M Coyne?

The NPI number of Jeannine M Coyne is 1528141744. It was assigned on October 23, 2006 and is currently active in the NPPES registry.

What is the specialty of Jeannine M Coyne?

Jeannine M Coyne is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC00037400.

Where does Jeannine M Coyne practice?

The practice location is 106 Park CT W, Medford, NJ 08055-8232. The office can be reached at 856-596-5399 (phone) or 856-983-1398 (fax).

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 1528141744 directly on the NPPES registry website.

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