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General NPI Number Information
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NPI Number | 1225958440
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Entity Type | Organization
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Legal Business Name | JENNIFER WASCURA LCSW, LLC
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Dates
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Enumeration Date | 07/17/2026
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Last Update Date | 07/17/2026
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Provider Practice Location Address
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Address Line | 455 MAIN ST
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City | PECKVILLE
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State | PA
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Zip | 18452-2428
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Country | US
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Telephone | 570-729-5810
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Fax |
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Provider Business Mailing Address
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Address Line | 455 MAIN ST
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City | PECKVILLE
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State | PA
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Zip | 18452-2428
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Country | US
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Telephone | 570-729-5810
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Fax |
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Authorized Official
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Title or Position | EMPLOYEE
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Name | JENNIFER WASCURA
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Credential | LCSW
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Telephone | 570-468-3457
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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