Healthcare Provider Details

I. General information

NPI: 1356277818
Provider Name (Legal Business Name): JENNIFER MARIE STEFURSKY LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

329 PENN AVE STE 202
SCRANTON PA
18503-1248
US

IV. Provider business mailing address

329 PENN AVE STE 202
SCRANTON PA
18503-1248
US

V. Phone/Fax

Practice location:
  • Phone: 570-342-4665
  • Fax: 570-342-5024
Mailing address:
  • Phone: 570-342-4665
  • Fax: 570-342-5024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSW126212
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: