MRS. Jessica Marie Carson, LCSW

NPI #1932625506 in Islip Terrace, New York

Provider Information

NPI Number: 1932625506
Entity Type: Individual
Name: MRS. Jessica Marie Carson, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Aug 16, 2017
Last Updated: Sep 19, 2024

Practice Location

Address: 1 CRAIG B GARIEPY AVE
City: Islip Terrace
State: New York
ZIP Code: 11752-2820
Phone: (631) 224-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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Organizations

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