Provider Demographics
NPI:1780853580
Name:CLAUDIO, JESSENIA (MSW)
Entity Type:Individual
Prefix:MRS
First Name:JESSENIA
Middle Name:
Last Name:CLAUDIO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 7 BOX 71901
Mailing Address - Street 2:
Mailing Address - City:SAN SEBASTIAN
Mailing Address - State:PR
Mailing Address - Zip Code:00685-7194
Mailing Address - Country:US
Mailing Address - Phone:787-280-0971
Mailing Address - Fax:
Practice Address - Street 1:HC 7 BOX 71901
Practice Address - Street 2:
Practice Address - City:SAN SEBASTIAN
Practice Address - State:PR
Practice Address - Zip Code:00685-7194
Practice Address - Country:US
Practice Address - Phone:787-280-0971
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-26
Last Update Date:2008-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR91911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical