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NPI Code Detail

MEDICARE: HEATHER JENNINGS LMSW, CSWI

MEDICARE:   HEATHER  JENNINGS  LMSW, CSWI
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
11041C0700XClinical Social WorkerIC-2274

General Provider Information

NPI Number : 1700551108
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER JENNINGS LMSW, CSWI
Provider Business Mailing Address
First Line : 435 SHADY LANE CT
Second Line :
City : RENO
State : NV
Zip : 89509-5427
Country : US
Telephone Number : 775-741-7420
Fax Number :
Provider Business Practice Location Address
First Line : 5540 RENO CORPORATE DR
Second Line :
City : RENO
State : NV
Zip : 89511-2599
Country : US
Telephone Number : 775-448-9760
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2021
Last Update Date : 09/10/2024

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Directions to “ HEATHER JENNINGS LMSW, CSWI” Practice Location

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