Healthcare Provider Details

I. General information

NPI: 1154238962
Provider Name (Legal Business Name): JENNIFER DEVENNY LCSW, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

159 CARLTON AVE APT 1B
BROOKLYN NY
11205-3253
US

IV. Provider business mailing address

159 CARLTON AVE APT 1B
BROOKLYN NY
11205-3253
US

V. Phone/Fax

Practice location:
  • Phone: 917-232-7377
  • Fax:
Mailing address:
  • Phone: 917-232-7377
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER DEVENNY
Title or Position: MANAGING MEMBER
Credential: LCSW
Phone: 917-232-7377