Healthcare Provider Details

I. General information

NPI: 1255261475
Provider Name (Legal Business Name): JENNIFER J TENNYSON LCSW LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

370 NEFF AVENUE UNIT I, SUITE 14
HARRISONBURG VA
22801
US

IV. Provider business mailing address

370 NEFF AVENUE UNIT I, SUITE 14
HARRISONBURG VA
22801
US

V. Phone/Fax

Practice location:
  • Phone: 302-540-8789
  • Fax:
Mailing address:
  • Phone: 302-540-8789
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MRS. JENNIFER JORDAN TENNYSON
Title or Position: MENTAL HEALTH THERAPIST
Credential: LCSW
Phone: 302-540-8789