Organization Active NPI

Jennifer Zelewicz LCSW LLC

  • Clinical Social Worker
  • Williamsport, PA
National Provider Identifier
1619444635
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JENNIFER ZELEWICZ LCSW LLC
Practice address
Rear 1012 Washington Blvd.
Williamsport, PA 17701-3684
Phone
(570) 419-5435
Fax
(570) 525-3389
NPI assigned
Oct 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2018

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

Authorized official

Name
Ms. Jennifer Zelewicz, MSW, LCSW
Title
Managing Member
Phone
(570) 419-5435

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

Rear 1012 Washington Blvd.
Williamsport, PA 17701-3684

Mailing address

16425 Route 42
Eagles Mere, PA 17731
Phone (570) 419-5435

Other practice location 1

16425 Route 42
Eagles Mere, PA 17731
Phone (570) 419-5435

Other identifiers 1

IdentifierTypeStateIssuer
112794MedicaidPA

National Provider Directory

National Provider Directory

Locations

1012 Washington Blvd
Rear
Williamsport, PA 17701
Phone (570) 419-5435

1012 Washington Blvd
Rear
Williamsport, PA 17701
Phone (570) 419-5435

NPI Registry JSON

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540771200000",
    "number": "1619444635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16425 ROUTE 42",
            "city": "EAGLES MERE",
            "state": "PA",
            "postal_code": "17731",
            "telephone_number": "570-419-5435",
            "fax_number": "570-525-3389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "REAR 1012 WASHINGTON BLVD.",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177013684",
            "telephone_number": "570-419-5435",
            "fax_number": "570-525-3389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16425 Route 42",
            "address_purpose": "LOCATION",
            "city": "Eagles Mere",
            "state": "PA",
            "postal_code": "17731",
            "country_code": "US",
            "telephone_number": "570-419-5435",
            "fax_number": "570-525-3389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JENNIFER ZELEWICZ LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-29",
        "last_updated": "2018-10-29",
        "status": "A",
        "authorized_official_last_name": "ZELEWICZ",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "570-419-5435",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112794",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsport, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; 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.