Provider Demographics
NPI:1255462495
Name:JARET, ANDREA MAY (LCSW)
Entity type:Individual
Prefix:MS
First Name:ANDREA
Middle Name:MAY
Last Name:JARET
Suffix:
Gender:F
Credentials:LCSW
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Other - Credentials:
Mailing Address - Street 1:7559 263RD ST
Mailing Address - Street 2:ZUCKER HILLSIDE HOSPITAL GERIATRIC PSYCHIATRY ACP BLDG
Mailing Address - City:GLEN OAKS
Mailing Address - State:NY
Mailing Address - Zip Code:11004-1150
Mailing Address - Country:US
Mailing Address - Phone:718-470-8621
Mailing Address - Fax:718-962-7712
Practice Address - Street 1:7559 263RD ST
Practice Address - Street 2:ZUCKER HILLSIDE HOSPITAL GERIATRIC PSYCHIATRY ACP BLDG
Practice Address - City:GLEN OAKS
Practice Address - State:NY
Practice Address - Zip Code:11004-1150
Practice Address - Country:US
Practice Address - Phone:718-470-8621
Practice Address - Fax:718-962-7712
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2010-02-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYR038581-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical