Jennie Chavis, LSW Valid NPI
Individual provider · Clinical Social Worker · Randolph, NJ
- NPI
- 1548978331
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- 44SC06279900 (NJ)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2022-11-09
- Last updated
- 2023-12-01
Practice location
1250 Sussex Tpke Ste N
Randolph, NJ 07869-2908
(973) 532-2256