National Provider Identifier

Jacklynn M Gingerich

Jacklynn M Gingerich is listed in the NPPES registry with a primary specialty of Social Worker in Middleport, NY and a listed phone number of (716) 870-4539.

NPI 1811771231Middleport, NYSocial Worker

Profile Overview

NPI
1811771231
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
August 24, 2023
Last Updated
August 24, 2023

Practice Location

  • 9760 Ridge RD
  • Middleport, NY 14105-9709

Phone: (716) 870-4539

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1811771231
Entity Type
Individual
Last Name
Gingerich
First Name
Jacklynn
Middle Name
M
Name Prefix
Mrs.
Mailing Street Address
9760 Ridge RD
Mailing City
Middleport
Mailing State
NY
Mailing ZIP Code
14105-9709
Mailing Country
US
Mailing Phone
(716) 870-4539
Mailing Fax
(585) 800-1411
Practice Street Address
9760 Ridge RD
Practice City
Middleport
Practice State
NY
Practice ZIP Code
14105-9709
Practice Country
US
Practice Phone
(716) 870-4539
Practice Fax
(585) 800-1411
Enumeration Date
August 24, 2023
Last Updated
August 24, 2023
Sex
Female
Sole Proprietor
No
Certification Date
August 24, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)