| Jennifer Kaye Lcsw Llc | |
|
8776 E Shea Blvd Scottsdale AZ 85260-6629 | |
| (480) 695-1863 | |
| (480) 619-6335 |
| Full Name | Jennifer Kaye Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 8776 E Shea Blvd, Scottsdale, Arizona |
| Authorized Official Name and Position | Jennifer Kaye (OWNER/THERAPIST) |
| Authorized Official Contact | 4806951863 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Kaye Lcsw Llc Po Box 6547 Scottsdale AZ 85261-6547 Ph: (480) 695-1863 | Jennifer Kaye Lcsw Llc 8776 E Shea Blvd Scottsdale AZ 85260-6629 Ph: (480) 695-1863 |
| NPI Number | 1710354535 |
|---|---|
| Provider Enumeration Date | 08/27/2015 |
| Last Update Date | 02/14/2024 |
| Certification Date | 02/14/2024 |
| Medicare PECOS PAC ID | 1355658683 |
|---|---|
| Medicare Enrollment ID | O20150917002471 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710354535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW2858 (Arizona) | Primary |
| Provider Name | Jennifer Kaye |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861598989 PECOS PAC ID: 4587739057 Enrollment ID: I20080818000610 |
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