Provider Demographics
NPI:1700325941
Name:AUCHU-RICOTTA, JENNIFER (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:
Last Name:AUCHU-RICOTTA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MISS
Other - First Name:JENNIFER
Other - Middle Name:ANNE
Other - Last Name:AUCHU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:691 SAINT PAUL ST
Mailing Address - Street 2:FL 4
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14605-1706
Mailing Address - Country:US
Mailing Address - Phone:585-753-5262
Mailing Address - Fax:
Practice Address - Street 1:691 SAINT PAUL ST
Practice Address - Street 2:FL 4
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14605-1706
Practice Address - Country:US
Practice Address - Phone:585-753-5262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-21
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator