NPI 1003589573

Jennifer Thieke

Practitioner Social Worker Northport, NY

Practice location

Address: 6 Coach Hill Ln, Northport, NY 11768-3308
Phone: (631) 402-4124

Registered specialties

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence 052481-01 (NY)

Other Social Worker providers in New York →

Registry record

NPI: 1003589573
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jul 2021
Record last updated: 29 Jul 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.