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General NPI Number Information
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NPI Number | 1598557092
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Entity Type | Individual
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Provider Name | JENNIFER YANKANICH LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/20/2025
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 6930 MARKET ST FL 2
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City | UPPER DARBY
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State | PA
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Zip | 19082-2308
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Country | US
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Telephone | 484-469-4319
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Fax |
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Provider Business Mailing Address
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Address Line | 324A OLIVE AVE
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City | HORSHAM
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State | PA
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Zip | 19044-2557
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Country | US
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Telephone | 267-575-0639
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW025954
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License Number State | PA
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