JACQUELINE CONNELL ANDERSON


Address: 590 Greene Ave, Brooklyn, NY 11216-1200
Phone: 3472170929

JACQUELINE CONNELL ANDERSON (NPI# 1447354931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447354931
Entity Type Individual
Full Name JACQUELINE CONNELL ANDERSON
Credential LCSW
Practice Address 590 Greene Ave
Brooklyn
NY 11216-1200
Practice Telephone 3472170929
Mailing Telephone 3472170929
Enumeration Date 2006-09-13
Last Update Date 2014-10-31
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
R027545-1 NY Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 00244931 05

Other Providers JACQUELINE ANDERSON

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Office Location

Street Address 590 GREENE AVE
City BROOKLYN
State NY
Zip Code 11216-1200

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

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1538766308 Malky Katz Social Worker 1621 58th St, Brooklyn, NY 11204-2174 2020-10-05
1881291029 Andrea M Harris-kornblith Social Worker 324 Prospect Ave Apt 1l, Brooklyn, NY 11215-5526 2020-10-01
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1154938512 Victor Furtick Social Worker 461 Dean St Apt 12p, Brooklyn, NY 11217-4144 2020-09-29
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Competitor

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City BROOKLYN
Zip Code 11216

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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