NPI 1114074580

Carmen J Jimenez, LCSW

Practitioner Social Worker Corona, NY

Practice location

Address: 10501 34th Avenue, Corona, NY 11368-1109
Phone: (718) 458-7818
Fax: (718) 458-7818

Registered specialties

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence R0367271 (NY)

Other Social Worker providers in New York →

Registry record

NPI: 1114074580
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Jan 2007
Record last updated: 12 Nov 2022

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.