# JENNIFER ANN FOSTER-MCCORMICK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1669675542
- **Gender:** F
- **Credential:** LCSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 746 | MT | Yes |

## Other

- **Enumeration date:** 06/07/2007
- **Last updated:** 03/17/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0165737 | — | MT |
| 05 | — | 503489 | — | MT |
| 01 | — | 71625 | CLINICAL SOCIAL WORKER | MT |
