1801918438 NPI number — MRS. JENNIFER HESS SEARS MSW LCSW

Table of content: MRS. JENNIFER HESS SEARS MSW LCSW (NPI 1801918438)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801918438 NPI number — MRS. JENNIFER HESS SEARS MSW LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SEARS
Provider First Name:
JENNIFER
Provider Middle Name:
HESS
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MSW LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FUNK
Provider Other First Name:
JENNIFER
Provider Other Middle Name:
HESS
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MSW LCSW
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1801918438
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/26/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1750 WYNDHAM DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
YORK
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
17403-5913
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
717-845-4277
Provider Business Mailing Address Fax Number:
717-718-8645

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1750 WYNDHAM DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
YORK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17403-5913
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-845-4277
Provider Business Practice Location Address Fax Number:
717-718-8645
Provider Enumeration Date:
04/04/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  CW012228 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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