Active NPI
Jennifer Kiesendahl
- Social Worker
- Hawley, PA
National Provider Identifier
1285486688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW141230
- Practice address
- 187 Atlantic Ave
Hawley, PA 18428-7003 - Phone
- (570) 226-4557
- NPI assigned
- Apr 1, 2024
- Last updated
- Apr 1, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW141230 | PA | Primary |
Addresses
Primary practice location
187 Atlantic Ave
Hawley, PA 18428-7003
Mailing address
65 Rocky View Dr
Hawley, PA 18428-4535
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW141230 | PA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711929600000",
"number": "1285486688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 ROCKY VIEW DR",
"city": "HAWLEY",
"state": "PA",
"postal_code": "184284535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "187 ATLANTIC AVE",
"city": "HAWLEY",
"state": "PA",
"postal_code": "184287003",
"telephone_number": "570-226-4557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIESENDAHL",
"first_name": "JENNIFER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-01",
"last_updated": "2024-04-01",
"certification_date": "2024-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW141230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hawley, PA
- Horizon Dental Care, Inc.
- JS Medical PA PLLC (Wallenpaupack Wellness and Aesthetics)
- Stanley Karoscik, RPH
- Kelly S. Magee, LPC, LLC
- Keystone Family Practice of Hawley
- Lackawaxen Township Volunteer Ambulance Service (Lackawaxen EMS)
- Lake Region Functional Therapy LLC
- Lake Region Urgent Care, PC
- Lakeside Discount Pharmacy Inc.
- Lakota Healthcare (The Singer Group, LLC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.