Individual provider · Type 1 NPI

Jennifer Thieke

Social Worker · Port Jefferson, NY

NPI number 1003589573 Active

Practice location

1227 Main St
Port Jefferson, NY 11777-2227

Mailing address

6 Coach Hill Ln
Northport, NY 11768-3308

Specialties and licenses

TaxonomyCodeLicense
Social Worker Primary 104100000X052481-01 (NY)

Social Worker: A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

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About NPI 1003589573

Jennifer Thieke's National Provider Identifier is 1003589573, issued on Jul 29, 2021. The primary taxonomy on file is Social Worker (104100000X), and the practice location is in Port Jefferson, NY. The record was last updated on Oct 22, 2026.