Individual provider · Type 1 NPI

Jennifer Suzanne Koeiman-Rasavong, LCSW

Clinical Social Worker · Eastchester, NY

NPI number 1245071760 Active

Practice location

685 White Plains Rd
Eastchester, NY 10709-5545

Call (646) 940-0563 Map

Mailing address

126 Oakley Ave
Mount Vernon, NY 10550-1441

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X100272-01 (NY)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1245071760

Jennifer Suzanne Koeiman-Rasavong, LCSW's National Provider Identifier is 1245071760, issued on Jun 6, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Eastchester, NY. The record was last updated on Nov 12, 2025.