Healthcare Provider Details

I. General information

NPI: 1093162091
Provider Name (Legal Business Name): JENNIFER SCHECHNER LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2016
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 E BROAD ST
BETHLEHEM PA
18018-6311
US

IV. Provider business mailing address

308 E BROAD ST
BETHLEHEM PA
18018-6311
US

V. Phone/Fax

Practice location:
  • Phone: 610-861-8779
  • Fax:
Mailing address:
  • Phone: 610-861-8779
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW020357
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC05874200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: