Provider Demographics
NPI:1861598989
Name:KAYE, JENNIFER (LCSW-2858)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:
Last Name:KAYE
Suffix:
Gender:F
Credentials:LCSW-2858
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6547
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85261-6547
Mailing Address - Country:US
Mailing Address - Phone:480-695-1863
Mailing Address - Fax:480-619-6335
Practice Address - Street 1:8776 E SHEA BLVD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6629
Practice Address - Country:US
Practice Address - Phone:480-695-1863
Practice Address - Fax:480-619-6335
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZD57882Medicare UPIN
AZD57882Medicare UPIN