Provider Demographics
NPI:1710032529
Name:EPSTEIN, JAIME L (ACSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:JAIME
Middle Name:L
Last Name:EPSTEIN
Suffix:
Gender:F
Credentials:ACSW, LCSW
Other - Prefix:MS
Other - First Name:JAIME
Other - Middle Name:L
Other - Last Name:KAPLAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:113 MOUNT VERNON AVE
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08225-2208
Mailing Address - Country:US
Mailing Address - Phone:609-432-9761
Mailing Address - Fax:
Practice Address - Street 1:113 MOUNT VERNON AVE
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08225-2208
Practice Address - Country:US
Practice Address - Phone:609-432-9762
Practice Address - Fax:609-407-9168
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2018-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC01174700101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJEP602449Medicare ID - Type Unspecified