Joanna Jessica De Jesus-Fenicle, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW013706 Issued in PA

Practice address

2341 Walbert Ave
Allentown, PA 18104-1351

Phone

(610) 434-2431

Fax

(610) 434-8384

NPI assigned

Dec 30, 2005

Last updated

Jul 8, 2007By the provider in NPPES

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 identifiers 2

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": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912984899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2341 WALBERT AVE",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181041351",
            "telephone_number": "610-434-2431",
            "fax_number": "610-434-8384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2341 WALBERT AVE",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181041351",
            "telephone_number": "610-434-2431",
            "fax_number": "610-434-8384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JESUS-FENICLE",
        "first_name": "JOANNA",
        "middle_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50009798",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS LCSW/FEP",
            "identifier": "DE1671127",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan Leigh Day, DO
• Rosanne Marie Day, PAC
• Travis Dayon, M.D.
• Natasha De Araujo
• Delphy F De Falcis, DO
• Sara De Jesus, BS
• Justine De la Fuente, OTR/L
• Crismary De la Rosa
• Guillermo Antonio De la Vega, MD
• Ivy De Lacruz, M.D.

• Clinical Social Worker in Allentown, PA
• Providers in Allentown, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.