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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JESSICA LYNN FANNING, LCSW

Active Sole Proprietor

JESSICA LYNN FANNING, LCSW is a Clinical Social Worker healthcare provider located in SMITHTOWN, New York. NPI 1336636570 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · SMITHTOWN, NY

Registration Details

NPI Number
1336636570
Provider Type
Individual
Gender
Female
NPI Issued
Apr 13, 2018 (8.3194352788651 yrs)
Last Updated
Feb 6, 2024
Licenses
098443 (NY)
093063 (NY)
Sole Proprietor
Yes

Practice Information

Address
11 ROUTE 111
SMITHTOWN, NY, 117873754
Browse NY providers · Browse ZIP 11787
Phone
6319208376
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in SMITHTOWN, NY

Name Credential NPI
MS. MARJORIE BETH SUGARMAN LCSW-R, BCD, DCSW 1245239961
DR. MATTHEW DOUGLAS GEE LCSW PHD 1710971692
MRS. JENNIFER ANN UFKO LCSW-R, ACSW 1215928395
MRS. JANET SHERYL PHILBIN LCSW 1720060403
MS. FLO MARSHAK LCSW 1265405641
JOAN DIDONATO LCSW 1093780892
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.