Healthcare Provider Details

I. General information

NPI: 1124313663
Provider Name (Legal Business Name): JENNIFER DEWITT LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2011
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 N. FRANKLIN ST. SUITE 102
DOYLESTOWN PA
18901
US

IV. Provider business mailing address

16 N FRANKLIN ST STE 115
DOYLESTOWN PA
18901-3536
US

V. Phone/Fax

Practice location:
  • Phone: 215-622-2659
  • Fax: 855-854-5412
Mailing address:
  • Phone: 215-622-2659
  • Fax: 855-854-5412

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW018202
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: