National Provider Identifier
Jennifer Lynn Eastman, LCSW
Jennifer Lynn Eastman, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (607) 218-2197.
Profile Overview
- NPI
- 1598323636
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- June 04, 2019
- Last Updated
- October 17, 2022
Practice Location
- 120 E Buffalo St Ste 5
- Ithaca, NY 14850-4266
Phone: (607) 218-2197
Specialties
- Clinical Social Worker (1041C0700X)
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1598323636
- Entity Type
- Individual
- Last Name
- Eastman
- First Name
- Jennifer
- Middle Name
- Lynn
- Name Prefix
- MS.
- Credential
- LCSW
- Mailing Street Address
- 120 E Buffalo St Ste 5
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-4266
- Mailing Country
- US
- Mailing Phone
- (607) 218-2197
- Practice Street Address
- 120 E Buffalo St Ste 5
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-4266
- Practice Country
- US
- Practice Phone
- (607) 218-2197
- Enumeration Date
- June 04, 2019
- Last Updated
- October 17, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- October 17, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X), Clinical Social Worker (1041C0700X)