Search › New York › 1041S0200X
Jacqueline Renda, LCSW-R
NPI 1700087434 · on the registry since 2007
Practice
- Address
- 210 Emerson St
Port Jefferson, NY 11777 - Phone
- (631) 331-3895
Registry record
- Primary taxonomy
- 1041S0200X
1041S0200X
- Also registered as
- 1041C0700X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-09-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York