Provider Demographics
NPI:1922247337
Name:KAZMARCK, JAIME L (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JAIME
Middle Name:L
Last Name:KAZMARCK
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 1:608 N JEROME AVE
Mailing Address - Street 2:
Mailing Address - City:MARGATE CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08402-1528
Mailing Address - Country:US
Mailing Address - Phone:609-822-1108
Mailing Address - Fax:609-822-1106
Practice Address - Street 1:608 N JEROME AVE
Practice Address - Street 2:
Practice Address - City:MARGATE CITY
Practice Address - State:NJ
Practice Address - Zip Code:08402-1528
Practice Address - Country:US
Practice Address - Phone:609-822-1108
Practice Address - Fax:609-822-1106
Is Sole Proprietor?:No
Enumeration Date:2009-02-09
Last Update Date:2009-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC053815001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical