| Jennifer Zelewicz Lcsw Llc | |
|
Rear 1012 Washington Blvd. Williamsport PA 17701-3684 | |
| (570) 419-5435 | |
| (570) 525-3389 |
| Full Name | Jennifer Zelewicz Lcsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | Rear 1012 Washington Blvd., Williamsport, Pennsylvania |
| Authorized Official Name and Position | Jennifer Zelewicz (MANAGING MEMBER) |
| Authorized Official Contact | 5704195435 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Zelewicz Lcsw Llc 16425 Route 42 Eagles Mere PA 17731 Ph: (570) 419-5435 | Jennifer Zelewicz Lcsw Llc Rear 1012 Washington Blvd. Williamsport PA 17701-3684 Ph: (570) 419-5435 |
| NPI Number | 1619444635 |
|---|---|
| Provider Enumeration Date | 10/29/2018 |
| Last Update Date | 10/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619444635 | NPI | - | NPPES |
| 112794 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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