MEDICARE: JENNA JOHNSON FRANZ LCSW

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	1041C0700X	Clinical Social Worker	091048	NY
2	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1518406214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNA JOHNSON FRANZ LCSW

Provider Business Mailing Address
First Line	:	1965 SHERIDAN DR
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14223-1251
Country	:	US
Telephone Number	:	716-939-1385
Fax Number	:

Provider Business Practice Location Address
First Line	:	1965 SHERIDAN DR
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14223-1251
Country	:	US
Telephone Number	:	716-939-1385
Fax Number	:

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

Provider Enumeration Date	:	02/15/2017
Last Update Date	:	01/19/2024

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