Jensen Rose Stanislaus, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW140498 Issued in PA

Practice address

3201 Chestnut St FL 2
Philadelphia, PA 19104-3370

Phone

(215) 553-7500

NPI assigned

Aug 26, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Drexel University

  • Clinical Psychologist
  • Philadelphia, PA
  • NPI 1447748801
  NPD
• Drexel University

  • Maternal & Fetal Medicine Physician
  • Philadelphia, PA
  • NPI 1629005152
  NPD (past)
• Integrate Therapy and Wellness Collective

  • Mental Health Counselor
  • Gordonville, PA
  • NPI 1801508809
  NPD (past)

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1942929401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 N QUEEN ST APT 304",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176033104",
            "telephone_number": "732-439-7634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 CHESTNUT ST FL 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043370",
            "telephone_number": "215-553-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2018 Western Ave",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379215718",
            "country_code": "US",
            "telephone_number": "865-544-0406",
            "fax_number": "865-544-0480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2727 Old Philadelphia Pike Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Bird IN Hand",
            "state": "PA",
            "postal_code": "175059707",
            "country_code": "US",
            "telephone_number": "717-594-9633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANISLAUS",
        "first_name": "JENSEN",
        "middle_name": "ROSE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-26",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW140498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Elizabeth Stange, RDN
• Ben Z Stanger, MD
• Elana F Stanger, LSW
• Joseph C Stangert, RPH
• Joseph K Stanilla, MD
• Morgan Stanislaus, CCC-SLP
• Margaret Catherine Staniszewski
• Corrie A Stankiewicz, MD
• Emily Stankoski, MSPAS, PA-C
• Stanley Gittelman DDS Inc

• All providers in Philadelphia, PA
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.