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Contact Information

JACQUELINE M WARREN, LCSW, CASAC
245 TILLEY PL
SEA CLIFF, NY11579-1019
 Phone: 516-801-0703
 Fax: 516-801-0703
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for JACQUELINE M WARREN · (Female)

NPI Number 1437249455
Status Active
Credentials LCSW, CASAC
Entity Individual
Enumeration date 10/13/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Yes
Identifiers
  • License # 5263
  • NY License # R053561
  • NY Other 7483569 GHI PROVIDER NUMBER
  • NY Other 031764 VALUE OPTIONS PROVIDER NO
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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