Healthcare Provider Details

I. General information

NPI: 1528207842
Provider Name (Legal Business Name): JENNIFER JO CASNER-HOCKENBERRY LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2009
Last Update Date: 02/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38 N 2ND ST
NEWPORT PA
17074-1501
US

IV. Provider business mailing address

533 BUCKS VALLEY RD
NEWPORT PA
17074-8206
US

V. Phone/Fax

Practice location:
  • Phone: 717-567-3524
  • Fax: 717-567-3581
Mailing address:
  • Phone: 717-443-9373
  • Fax: 717-567-3581

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSW011868L
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: