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

JASON VANDEWATER, LCSW

Active

JASON VANDEWATER, LCSW is a Clinical Social Worker healthcare provider located in WEST BBABYLON, New York. NPI 1912351883 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · WEST BBABYLON, NY

Registration Details

NPI Number
1912351883
Provider Type
Individual
Gender
Male
NPI Issued
Apr 18, 2016 (10.141663607386 yrs)
Last Updated
Apr 18, 2016
License
079967-1 (NY)

Practice Information

Address
1 FARMINGDALE ROAD
WEST BBABYLON, NY, 11704
Browse NY providers · Browse ZIP 11704
Phone
6316695355
Primary Specialty
Clinical Social Worker
1041C0700X
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.