Provider Demographics
NPI:1972830081
Name:SEAGER, JENNIFER LIN (LMSW)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:LIN
Last Name:SEAGER
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 1:790 BRONX RIVER RD
Mailing Address - Street 2:A23
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-7941
Mailing Address - Country:US
Mailing Address - Phone:917-930-6675
Mailing Address - Fax:
Practice Address - Street 1:790 BRONX RIVER RD
Practice Address - Street 2:A23
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708-7941
Practice Address - Country:US
Practice Address - Phone:917-930-6675
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-10
Last Update Date:2009-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0565561104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker