Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jaiminique Etienne

Individual provider Clinical Social Worker · NPI 1710429295

Jaiminique Etienne is a Clinical Social Worker in Lindenhurst, New York. Qualified in 2016, 10 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
10
Licensed in
NY
In the registry since
2016
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Practice location Address checks out

334 Nevada St
Lindenhurst, NY 11757-5206
Phone: (347) 799-0588
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 101414 (NY)

Record details

NPI number1710429295
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 15, 2016
Last updated in NPPESApril 17, 2026
Certification dateApril 17, 2026
Mailing address334 Nevada St, Lindenhurst, NY 11757-5206

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Lindenhurst