Jodi Fletcher, LCSW

Individual provider Active NPI Clinical Social Worker · Clayton, DE

NPI 1639622178 · NPPES record last updated Aug 2, 2016

Key facts

NPI
1639622178
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
Q1-0001225 (DE)
Practice address
5904 Millington Rd
Clayton, DE 19938-2558
Phone
(302) 632-7085
NPI assigned
Aug 2, 2016
Sex
Female
Sole proprietor
Yes

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
Q1-0001225DEMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Q1-0001225 DE Yes

Addresses

Primary practice location

5904 Millington Rd
Clayton, DE 19938-2558

Mailing address

PO Box 916
Clayton, DE 19938-0916
Phone (302) 632-7085

Other providers in Clayton, DE

All providers in Clayton, DE · Clinical Social Worker in Delaware

Sources for this page

Verify at the official NPI Registry.