Provider Demographics
NPI:1255585543
Name:GATTI, JENNIFER MINERVA (LMSW)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:MINERVA
Last Name:GATTI
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MRS
Other - First Name:JENNIFER
Other - Middle Name:GATTI
Other - Last Name:MORAES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMSW
Mailing Address - Street 1:300 FORT WASHINGTON AVE
Mailing Address - Street 2:APT. 1G
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-1323
Mailing Address - Country:US
Mailing Address - Phone:917-667-7314
Mailing Address - Fax:347-726-8096
Practice Address - Street 1:2447 EASTCHESTER RD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469-5915
Practice Address - Country:US
Practice Address - Phone:718-882-2111
Practice Address - Fax:718-882-2117
Is Sole Proprietor?:No
Enumeration Date:2008-11-13
Last Update Date:2008-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY073335-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker