De Jesus-Fenicle, Joanna Jessica

De Jesus-Fenicle, Joanna Jessica is an individual health care provider with primary practice located at 2341 Walbert Ave , Allentown PA 18104-1351. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. De Jesus-Fenicle, Joanna Jessica can be contacted via phone (610) 434-2431.

Contact Information

Primary practice address
2341 Walbert Ave Allentown PA 18104-1351
Phone: (610) 434-2431
Fax: (610) 434-8384
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW013706 Pennsylvania

Profile Details

NPI number 1912984899
LBN Legal business name De Jesus-Fenicle, Joanna Jessica
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1912984899 NPPES
Pennsylvania Other DE1671127 HIGHMARK BS LCSW/FEP
Pennsylvania Other 50009798 HIGHMARK BS LCSW/FEP

Popular Providers