National Provider Identifier

Ebony S Jenkins, LMSW

Ebony S Jenkins, LMSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 257-2864.

NPI 1033967237Rochester, NYClinical Social Worker

Profile Overview

NPI
1033967237
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
May 11, 2024
Last Updated
May 11, 2024

Practice Location

  • 103 Canal Landing Blvd Ste 8
  • Rochester, NY 14626-5108

Phone: (585) 257-2864

Mailing Address

  • 25 Harwood St
  • Rochester, NY 14620-1626

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1033967237
Entity Type
Individual
Last Name
Jenkins
First Name
Ebony
Middle Name
S
Credential
LMSW
Mailing Street Address
25 Harwood St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14620-1626
Mailing Country
US
Mailing Phone
(315) 876-0727
Practice Street Address
103 Canal Landing Blvd Ste 8
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14626-5108
Practice Country
US
Practice Phone
(585) 257-2864
Enumeration Date
May 11, 2024
Last Updated
May 11, 2024
Sex
Female
Sole Proprietor
Yes
Certification Date
May 11, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)