MEDICARE: JENNA HOWLETT MSW, LCSWA, LCASA

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
1	1041C0700X	Clinical Social Worker	P018382	NC
2	1041C0700X	Clinical Social Worker	C018422	NC
3	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1740839562
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNA HOWLETT MSW, LCSWA, LCASA

Provider Business Mailing Address
First Line	:	2130 POST ST APT 311
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-3560
Country	:	US
Telephone Number	:	360-972-4925
Fax Number	:

Provider Business Practice Location Address
First Line	:	2130 POST ST APT 311
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-3560
Country	:	US
Telephone Number	:	360-972-4925
Fax Number	:

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

Provider Enumeration Date	:	09/04/2019
Last Update Date	:	04/01/2026

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