Healthcare Provider Details

I. General information

NPI: 1841128741
Provider Name (Legal Business Name): JENNA LORENZ LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

346 MAIN ST. CHATHAM, NJ 07928
CHATHAM NJ
07928
US

IV. Provider business mailing address

228 POWERVILLE RD
BOONTON NJ
07005-8732
US

V. Phone/Fax

Practice location:
  • Phone: 862-217-5172
  • Fax:
Mailing address:
  • Phone: 973-307-6636
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SL07449400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: