Provider Demographics
NPI:1659505741
Name:BATTAGLINO, JENNIFER SCAVERA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:SCAVERA
Last Name:BATTAGLINO
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 1:178 MYRTLE BLVD STE 107
Mailing Address - Street 2:
Mailing Address - City:LARCHMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10538-2035
Mailing Address - Country:US
Mailing Address - Phone:914-315-1823
Mailing Address - Fax:914-873-4851
Practice Address - Street 1:178 MYRTLE BLVD STE 107
Practice Address - Street 2:
Practice Address - City:LARCHMONT
Practice Address - State:NY
Practice Address - Zip Code:10538-2035
Practice Address - Country:US
Practice Address - Phone:914-315-1823
Practice Address - Fax:914-873-4851
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-05
Last Update Date:2009-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0626351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical