Healthcare Provider Details
I. General information
NPI: 1861571424
Provider Name (Legal Business Name): JENNIFER LYNN NUHFER L.C.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 11/03/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2207 FREEPORT RD ANCHOR COURT
NATRONA HEIGHTS PA
15065-1544
US
IV. Provider business mailing address
2207 FREEPORT RD ANCHOR COURT
NATRONA HEIGHTS PA
15065-1544
US
V. Phone/Fax
- Phone: 724-224-3031
- Fax:
- Phone: 724-224-3031
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | CW014386 |
| License Number State | PA |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
| # 1 | |
| Identifier | 229921 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | UNITED BEHAVIORAL HEALTH |
| # 2 | |
| Identifier | 1466220 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | HIGHMARK |
| # 3 | |
| Identifier | 522468 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | VALUE OPTIONS |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: