Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARYJANE QUENNEVILLE
Active Sole ProprietorMARYJANE QUENNEVILLE is a Clinical Social Worker healthcare provider located in SYRACUSE, New York. NPI 1003587643 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · SYRACUSE, NY
Registration Details
- NPI Number
- 1003587643
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 23, 2021 (4.8870569204126 yrs)
- Last Updated
- Mar 13, 2023
- License
-
085429 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
124 NORTHERN LIGHTS DR STE 20SYRACUSE, NY, 132124119Browse NY providers · Browse ZIP 13212
- Phone
- 3153261008
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in SYRACUSE, NY
| Name | Credential | NPI |
|---|---|---|
| MR. JEFFREY DREW | C.S.W. | 1760488738 |
| MS. RUTH C KUTZ | — | 1508848680 |
| WENDY M YOST | CSW | 1760459119 |
| MS. LAURIE SANDERSON | — | 1780646802 |
| MRS. EILEEN ESSI | LCSW | 1215990841 |
| MRS. JOAN D BUCKLEY-WHITE | LCSW-R | 1801851779 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.