Jennifer K Conn, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW136507 Issued in PA

Practice address

1509 Cliff Rd
Penn Wynne, PA 19096-3530

Phone

(215) 882-1270

NPI assigned

May 24, 2022

Last updated

May 24, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1114665783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 CLIFF RD",
            "city": "PENN WYNNE",
            "state": "PA",
            "postal_code": "190963530",
            "telephone_number": "215-882-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 CLIFF RD",
            "city": "PENN WYNNE",
            "state": "PA",
            "postal_code": "190963530",
            "telephone_number": "215-882-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONN",
        "first_name": "JENNIFER",
        "middle_name": "K",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "SW136507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SimplePractice",
            "affiliation": "N",
            "endpointDescription": "Practice mgmt software that allows secure direct messaging and send/receive electronic records and information",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1509 Cliff Rd",
            "city": "Penn Wynne",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190963530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jake Defonzo, PA-C
• Ashley S Foye
• Rosemary Galante, CRNP
• Carly Ann Garvin, DO
• Jeanette Giovanetti, IBCLC

• Clinical Social Worker in Penn Wynne, PA
• Providers in Penn Wynne, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.