Provider Demographics
NPI:1710300488
Name:DOGALI, JESSICA (LMHC, CASAC)
Entity Type:Individual
Prefix:MISS
First Name:JESSICA
Middle Name:
Last Name:DOGALI
Suffix:
Gender:F
Credentials:LMHC, CASAC
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:
Other - Last Name:NAMI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:1900 HEMPSTEAD TPKE STE 412
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-1702
Mailing Address - Country:US
Mailing Address - Phone:516-578-0722
Mailing Address - Fax:
Practice Address - Street 1:1900 HEMPSTEAD TPKE STE 412
Practice Address - Street 2:
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554-1702
Practice Address - Country:US
Practice Address - Phone:516-578-0722
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-30
Last Update Date:2019-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY28166101YA0400X
NY005763-1101YM0800X
NY005763101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)