Provider Demographics
NPI:1790069706
Name:HOROWITZ, JENNA P (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:JENNA
Middle Name:P
Last Name:HOROWITZ
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 MONTROSE ROAD
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583
Mailing Address - Country:US
Mailing Address - Phone:914-376-5124
Mailing Address - Fax:914-457-2386
Practice Address - Street 1:135 LOCUST HILL AVENUE C/O WJCS
Practice Address - Street 2:MARTIN LUTHER KING JR. ELEMENTARY SCHOOL
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701
Practice Address - Country:US
Practice Address - Phone:914-376-5124
Practice Address - Fax:914-457-2386
Is Sole Proprietor?:No
Enumeration Date:2011-10-10
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY084071104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker