Provider Demographics
NPI:1174982607
Name:JEFF, OSSENIA (LCSW)
Entity type:Individual
Prefix:
First Name:OSSENIA
Middle Name:
Last Name:JEFF
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 E T C JESTER BLVD
Mailing Address - Street 2:SUITE 280
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-1365
Mailing Address - Country:US
Mailing Address - Phone:281-764-1883
Mailing Address - Fax:281-601-4677
Practice Address - Street 1:2500 E T C JESTER BLVD
Practice Address - Street 2:SUITE 280
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1365
Practice Address - Country:US
Practice Address - Phone:281-764-1883
Practice Address - Fax:281-601-4677
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-11
Last Update Date:2016-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX56990104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker