MEDICARE: JENNIFER LESANNE ALBRITTON 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	12839-123	WI
2	104100000X	Social Worker	150.013105	IL
3	106H00000X	Marriage & Family Therapist	128995-121	WI

General Provider Information

NPI Number	:	1730427410
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER LESANNE ALBRITTON LCSW

Provider Business Mailing Address
First Line	:	1962 LEMONWOOD RD
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23323-5328
Country	:	US
Telephone Number	:	757-805-4743
Fax Number	:

Provider Business Practice Location Address
First Line	:	1962 LEMONWOOD RD
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23323-5328
Country	:	US
Telephone Number	:	757-805-4743
Fax Number	:

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

Provider Enumeration Date	:	01/30/2013
Last Update Date	:	03/13/2026

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