Provider Demographics
NPI:1093002396
Name:MCFARLAND, JAMIE KRISTIN (LSW)
Entity Type:Individual
Prefix:MS
First Name:JAMIE
Middle Name:KRISTIN
Last Name:MCFARLAND
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 MOTT PL
Mailing Address - Street 2:
Mailing Address - City:ROCKAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07866-3021
Mailing Address - Country:US
Mailing Address - Phone:973-769-3211
Mailing Address - Fax:
Practice Address - Street 1:17 MOTT PL
Practice Address - Street 2:
Practice Address - City:ROCKAWAY
Practice Address - State:NJ
Practice Address - Zip Code:07866-3021
Practice Address - Country:US
Practice Address - Phone:973-769-3211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-07
Last Update Date:2011-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL05686900104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker