MEDICARE: MS. JENNA RODJENSKI LCSW

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	104100000X	Social Worker
2	174400000X	Specialist
3	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1689213449
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JENNA RODJENSKI LCSW

Provider Business Mailing Address
First Line	:	411 MCKEAN ST APT 2
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19148-2524
Country	:	US
Telephone Number	:	724-801-9147
Fax Number	:

Provider Business Practice Location Address
First Line	:	411 MCKEAN ST APT 2
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19148-2524
Country	:	US
Telephone Number	:	724-801-9147
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2019
Last Update Date	:	02/15/2026

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