Jenna Katherine Welch, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SL06703700 Issued in NJ

Practice address

2 Pine Blvd
Medford, NJ 08055-3401

Phone

(631) 316-0418

NPI assigned

Jun 15, 2022

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

Other names 1

• Jenna Katherine Ulrich Other name

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": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1740910298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PINE BLVD",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080553401",
            "telephone_number": "631-316-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PINE BLVD",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080553401",
            "telephone_number": "631-316-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "JENNA",
        "middle_name": "KATHERINE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06703700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "ULRICH",
            "middle_name": "KATHERINE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brooke Wasco, PT, DPT
• Katherine Watson
• Frances E Watt, DMD
• Kenneth J Weiss, DMD
• Robert D Weitz, DO
• Nicole Welsh, RN
• Eugene R Wescott, DMD
• Theresa A Widmann, R.PH.
• Emily G Wilkins, MSN, PMHNP-BC
• Willowglen Academy-New Jersey, Inc.

• Social Worker in Medford, NJ
• Providers in Medford, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.

Verify at the official NPI Registry.