Willey, Jenna Marie

Willey, Jenna Marie is an individual health care provider with primary practice located at 29520 Canvasback Dr , Easton MD 21601-7124. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Willey, Jenna Marie can be contacted via phone (410) 822-5007.

Contact Information

Primary practice address
29520 Canvasback Dr Easton MD 21601-7124
Phone: (410) 822-5007
Fax: (410) 822-5569
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 19537 Maryland
Behavioral Health & Social Service Providers / Clinical 1041C0700X 19537 Maryland

Profile Details

NPI number 1336498823
LBN Legal business name Willey, Jenna Marie
Credentials LCSW-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2012
Last updated Apr 1st, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336498823 NPPES
Maryland Other 7840093 AETNA
Maryland MEDICAID 609500300 AETNA
Maryland Other 346646 AETNA
Maryland MEDICAID 609550002 AETNA
Maryland Other R968 AETNA

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