Provider Demographics
NPI:1346743945
Name:RASHKIN, JANA (LMSW, MS, MA)
Entity Type:Individual
Prefix:
First Name:JANA
Middle Name:
Last Name:RASHKIN
Suffix:
Gender:F
Credentials:LMSW, MS, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 HALLOCK RD
Mailing Address - Street 2:
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11790-3078
Mailing Address - Country:US
Mailing Address - Phone:631-551-5095
Mailing Address - Fax:
Practice Address - Street 1:215 HALLOCK RD
Practice Address - Street 2:
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11790-3078
Practice Address - Country:US
Practice Address - Phone:631-551-5095
Practice Address - Fax:631-675-6306
Is Sole Proprietor?:No
Enumeration Date:2018-03-10
Last Update Date:2018-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY098115104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker