National Provider Identifier
Jennifer Decapria Close, LCSW-R
Jennifer Decapria Close, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Corning, NY and a listed phone number of (607) 654-4450.
Profile Overview
- NPI
- 1619471422
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- March 19, 2018
- Last Updated
- November 08, 2022
Practice Location
- 8 Denison Pkwy E Ste 305
- Corning, NY 14830-2644
Phone: (607) 654-4450
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1619471422
- Entity Type
- Individual
- Last Name
- Decapria Close
- First Name
- Jennifer
- Credential
- LCSW-R
- Provider Other Last Name
- Decapria
- Provider Other First Name
- Jennifer
- Provider Other Middle Name
- L
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 8 Denison Pkwy E Ste 305
- Mailing City
- Corning
- Mailing State
- NY
- Mailing ZIP Code
- 14830-2644
- Mailing Country
- US
- Mailing Phone
- (607) 654-4450
- Practice Street Address
- 8 Denison Pkwy E Ste 305
- Practice City
- Corning
- Practice State
- NY
- Practice ZIP Code
- 14830-2644
- Practice Country
- US
- Practice Phone
- (607) 654-4450
- Enumeration Date
- March 19, 2018
- Last Updated
- November 08, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- October 03, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)