Provider Demographics
NPI:1801918438
Name:SEARS, JENNIFER HESS (MSW LCSW)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:HESS
Last Name:SEARS
Suffix:
Gender:F
Credentials:MSW LCSW
Other - Prefix:MRS
Other - First Name:JENNIFER
Other - Middle Name:HESS
Other - Last Name:FUNK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW LCSW
Mailing Address - Street 1:1750 WYNDHAM DR
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-5913
Mailing Address - Country:US
Mailing Address - Phone:717-845-4277
Mailing Address - Fax:717-718-8645
Practice Address - Street 1:1750 WYNDHAM DR
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-5913
Practice Address - Country:US
Practice Address - Phone:717-845-4277
Practice Address - Fax:717-718-8645
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0122281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1669474979Medicare PIN