Sehara Geneen Wessner, MSW, LSW

Individual provider Active NPI Social Worker · Jenkins Township, PA

NPI 1487435525 · NPPES record last updated Oct 31, 2023

Key facts

NPI
1487435525
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
SW140407 (PA)
Practice address
1605 River Rd
Jenkins Township, PA 18640-1333
Phone
(570) 332-2112
NPI assigned
Oct 12, 2023
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
SW140407PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Radiance Wellness Group LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW140407 PA Yes

Addresses

Primary practice location

1605 River Rd
Jenkins Township, PA 18640-1333

Mailing address

1605 River Rd
Jenkins Township, PA 18640-1333
Phone (570) 332-2112

Other providers in Jenkins Township, PA

All providers in Jenkins Township, PA · Social Worker in Pennsylvania

Sources for this page

Verify at the official NPI Registry.