MEDICARE: JESSICA CARLTON-HUMENIK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	SW012035L	PA

General Provider Information

NPI Number	:	1487535035
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA CARLTON-HUMENIK

Provider Business Mailing Address
First Line	:	3899 N FRONT ST
Second Line	:
City	:	HARRISBURG
State	:	PA
Zip	:	17110-1583
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3899 N FRONT ST
Second Line	:
City	:	HARRISBURG
State	:	PA
Zip	:	17110-1583
Country	:	US
Telephone Number	:	717-232-7580
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/10/2025
Last Update Date	:	09/10/2025

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Directions to “ JESSICA CARLTON-HUMENIK ” Practice Location

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