Provider Demographics
NPI:1548674906
Name:SEARING, JACQUELINE D (LCSW)
Entity type:Individual
Prefix:
First Name:JACQUELINE
Middle Name:D
Last Name:SEARING
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 1:304 WOODLAND AVE
Mailing Address - Street 2:
Mailing Address - City:MANORVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11949-2053
Mailing Address - Country:US
Mailing Address - Phone:631-878-1681
Mailing Address - Fax:
Practice Address - Street 1:240 MASTIC BEACH ROAD
Practice Address - Street 2:
Practice Address - City:MASTIC BEACH
Practice Address - State:NY
Practice Address - Zip Code:11951
Practice Address - Country:US
Practice Address - Phone:631-874-1952
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-13
Last Update Date:2014-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)