Basic Information
| Provider Information | |||||||||
| NPI: | 1528588969 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HALPER | ||||||||
| FirstName: | JENNIFER | ||||||||
| MiddleName: | |||||||||
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| Credential: | LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2360 SWEET HOME RD STE 3 | ||||||||
| Address2: | |||||||||
| City: | AMHERST | ||||||||
| State: | NY | ||||||||
| PostalCode: | 142282331 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7165591911 | ||||||||
| FaxNumber: | 7165688229 | ||||||||
| Practice Location | |||||||||
| Address1: | 2360 SWEET HOME RD STE 3 | ||||||||
| Address2: | |||||||||
| City: | AMHERST | ||||||||
| State: | NY | ||||||||
| PostalCode: | 142282331 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7182756010 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/27/2017 | ||||||||
| LastUpdateDate: | 04/26/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/26/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 104100000X | 095945 | NY | N | Behavioral Health & Social Service Providers | Social Worker | 101YM0800X | 087966 | NY | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.