Provider Demographics
NPI:1467931774
Name:BEST, JACQUELINE D I (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JACQUELINE
Middle Name:D
Last Name:BEST
Suffix:I
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 TEHAMA ST APT 2D
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-2159
Mailing Address - Country:US
Mailing Address - Phone:917-846-3919
Mailing Address - Fax:
Practice Address - Street 1:40 TEHAMA ST APT 2D
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-2159
Practice Address - Country:US
Practice Address - Phone:917-846-3919
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-08
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0705201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical