Individual
CHASITY JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
170 OLD COUNTRY RD, RIVERHEAD, NY 11901-2198
(631) 208-4460
Mailing address
23 B ST, LAUREL, MD 20707-4191
(917) 568-5348
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
130480
NY
Other
Enumeration date
01/19/2026
Last updated
01/21/2026
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