Healthcare Provider Details

I. General information

NPI: 1740839562
Provider Name (Legal Business Name): JENNA HOWLETT MSW, LCSWA, LCASA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JENNA KING

II. Dates (important events)

Enumeration Date: 09/04/2019
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2130 POST ST APT 311
SAN FRANCISCO CA
94115-3560
US

IV. Provider business mailing address

2130 POST ST APT 311
SAN FRANCISCO CA
94115-3560
US

V. Phone/Fax

Practice location:
  • Phone: 360-972-4925
  • Fax:
Mailing address:
  • Phone: 360-972-4925
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP018382
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC018422
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: