Individual
MS. JACQUELINE MARIA WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CASAC
Contact information
Practice address
245 TILLEY PL, SEA CLIFF, NY 11579-1019
(516) 801-0703
(516) 801-0703
Mailing address
245 TILLEY PL, SEA CLIFF, NY 11579-1019
(516) 801-0703
(516) 801-0703
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5263
—
1041C0700X
Clinical Social Worker
R053561
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
031764
VALUE OPTIONS PROVIDER NO
NY
01
—
7483569
GHI PROVIDER NUMBER
NY
Enumeration date
10/13/2006
Last updated
09/11/2025
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