National Provider Identifier

Jennifer K Baccile, LMSW

Jennifer K Baccile, LMSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Elmira, NY and a listed phone number of (607) 737-4882.

NPI 1811405459Elmira, NYClinical Social Worker

Profile Overview

NPI
1811405459
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
January 17, 2018
Last Updated
January 17, 2018

Practice Location

  • 100 Washington St
  • Elmira, NY 14901-2849

Phone: (607) 737-4882

Mailing Address

  • 706 Southport St
  • Elmira, NY 14904-2136

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1811405459
Entity Type
Individual
Last Name
Baccile
First Name
Jennifer
Middle Name
K
Credential
LMSW
Mailing Street Address
706 Southport St
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14904-2136
Mailing Country
US
Practice Street Address
100 Washington St
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14901-2849
Practice Country
US
Practice Phone
(607) 737-4882
Enumeration Date
January 17, 2018
Last Updated
January 17, 2018
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)