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NPI Code Detail

MEDICARE: JENNY SISMONDO LCSW

MEDICARE: JENNY SISMONDO LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerCW027551PA

General Provider Information

NPI Number : 1245915214
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNY SISMONDO LCSW
Provider Business Mailing Address
First Line : PO BOX 234
Second Line :
City : PERRYOPOLIS
State : PA
Zip : 15473-0234
Country : US
Telephone Number : 724-570-1103
Fax Number :
Provider Business Practice Location Address
First Line : 110 HIDDEN VALLEY RD
Second Line :
City : MC MURRAY
State : PA
Zip : 15317-2685
Country : US
Telephone Number : 878-884-4312
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2023
Last Update Date : 06/16/2026

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Directions to “ JENNY SISMONDO LCSW” Practice Location

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