Provider Demographics
NPI:1508527730
Name:PINTO, JENNIFERBETH DEVANTIER (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JENNIFERBETH
Middle Name:DEVANTIER
Last Name:PINTO
Suffix:
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 1:20 LAMESA AVE
Mailing Address - Street 2:
Mailing Address - City:EASTCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10709-5416
Mailing Address - Country:US
Mailing Address - Phone:774-316-9015
Mailing Address - Fax:
Practice Address - Street 1:20 LAMESA AVE
Practice Address - Street 2:
Practice Address - City:EASTCHESTER
Practice Address - State:NY
Practice Address - Zip Code:10709-5416
Practice Address - Country:US
Practice Address - Phone:914-774-2934
Practice Address - Fax:914-961-5441
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-10
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY070676-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty